HDMGS’ audit solutions lead the industry with proven audit processes and technology to detect claim errors and overpayments. It utilizes electronic data mining tools and analysis to determine whether contractors are accurately adhering to contractual obligations, benefit plan designs, and financial agreements with providers.

Our audit solutions provide a retrospective analysis — utilizing 100% of the claims data — to provide an extensive review of both the program and contractor’s performances.

Additional features of our audit solutions include:

	Analyzes past performance of benefits payments
	Provides compliance with industry standards
	Monitors contractor’s contract compliance
	Evaluates provider discounts and identifies overpayments