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Our mission is to promote value and appropriateness of care.

Audits and The Sentinel Effect

Service providers do their best when their performance is checked, and the better companies welcome the attention. We have measurement tools for Indemnity, PPO and DHMO plans that allow you to assess the quality of service your employees receive.

Plan Ahead: Auditing costs can be fully or partially paid by the vendor.

Audit parameters may include:

  • Time on hold
  • Work flow
  • Employee training
  • Utilization review
  • Turnaround time
  • Coordination of benefits
  • Call abandonment rate

  • Telephone response time
  • Customer service efficiency
  • Payments made for the right service
  • The correct payment is made
  • Cost/value relationship for DHMO plans
  • Continuous quality improvement
  • Basis for clinical quality decisions

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