Many people often put off filing tax returns until the last minute. They have that nagging anxiety of not knowing – did I overpay and I can look forward to a refund or did I underpay and how much will I owe the IRS?

Self-insured employers may approach healthcare claims audits in a similar way, sometimes choosing to audit only every three years or maybe not at all. If a self-insured employer is not annually auditing their paid healthcare claims, there is a chance they are short-changing their employees and the company.

According to the U.S. Bureau of Labor Statistics, “Ninety-four percent of all civilian workers who participated in their employers’ medical plans in March 2020 had to contribute part of the premium for family coverage. Annual employee contributions averaged $6,797. In March 2010, 88 percent of employees had to contribute for family coverage, and annual employee contributions averaged $4,524.” 

Those are the employees’ assets for which the employer has a legal fiduciary responsibility. And millions of claims are being adjudicated and paid without being adequately, independently audited. We help you take control of what is one of your company’s largest expenses and put YOUR dollars back where they belong. We Make it Right.

Healthcare Horizons can remove the anxiety of not knowing by performing a thorough, 100% Difference audit every year. Our clients always know where they stand!

The Difference is in Knowing.

To learn more about our approach to healthcare claims auditing or out-of-network provider fee negotiation services, visit Healthcare Horizons, or reach out to us at hhadmin@healthcarehorizons.com. 

Randy King is president of Healthcare Horizons Consulting Group, Inc. The company is one of the nation’s leading healthcare claims auditing firms, focused exclusively on self-insured employers since 1999. Healthcare Horizons has recovered millions of dollars for its clients through auditing and air ambulance negotiations for some of the world’s largest employers.