Medical Business Associates, Inc. Patient Hotline: 877-MBA-UWIN (877-622-8946)
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We Understand How Information and Money Move In Healthcare
 
 
 

Employer Services

The management of healthcare transactions and claims is an enormous challenge — a specialized understanding of the marketplace is critical.


Due to the complexity of healthcare and increasing costs, employers are often left with a number of questions when it comes to healthcare:

Am I being overcharged?
Why are employee healthcare benefits so expensive?
Why are healthcare expenditures escalating so rapidly?

Medical Business Associates, Inc. enables employers to manage, control and reduce their healthcare costs.

Our employer solutions include, but are not limited to:

  • Eligibility/Dependent Audits
  • 100% of Claims Audits
  • Random Sample Audits
  • Claim Surveillance
  • Specialty & Custom Audits
  • Patient Advocacy

Our independent trusted advisors include:

  • Claims auditor & Investigative experts (Certified Public Accountants, Certified Fraud Examiners, Private Investigators, Actuaries)
  • Clinical experts (Nurses, Doctors, Pharmacist)
  • Information Technology experts (Data Analysts, Software Programmers, Database Administrators)

Web-based employer audit tools:

  • Subscriber/Dependent Eligibility Audit
  • Bill Alert Program



Healthcare Audit Services
AUDITING
  • Understand and reduce healthcare expenditures
  • Review operational plan administration
  • Results in 3 months
CONSULTING
  • Implement audit findings
  • Optimize plan performance
  • Forum for questions and answers
TRAINING
  • On-site training of internal audit staff
  • On-site and web-based employee wellness
  • medical expense management training


For more information on our Employer Advocacy Services, please fill out a request form.

Healthcare Fraud

In 2007, ten individuals, including four doctors, were indicted in a scheme to defraud patients and insurance companies in connection with allergy testing and shots.

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