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PAYMENT ACCURACY

Dependent Eligibility Verification

Part of our suite of Payment Integrity solutions.

Plug the leaks in your plan.

On average, between four and eight percent of the dependents on an employer’s health plan are not eligible for coverage.

With Dependent Eligibility Verification, we uncover these hidden costs, delivering a typical return on investment of between 400 percent and 1,000 percent.

We’ve performed more than 2,700 reviews. That’s over 5.6 million dependents. We handle verifications with sensitivity, ensuring employees understand exactly why a dependent may be ineligible and explaining the process every step of the way. We have an easy-to-use, purpose built online hub that allows most employees to submit required documents in under 5 minutes. If there are questions, we have trained staff available by phone 12 hours a day, five days a week, and we guarantee an average wait time of 55 seconds.

The discovery of ineligible dependents will greatly reduce your spending, enable your plan to be more sustainable, and keep costs lower for your employees.