Audit Services

Healthcare Horizons offers a comprehensive array of auditing, analysis, and reporting services for some of the world’s largest self-insured employers, involving all national and most regional payers. We specialize in auditing 100% of claims – our 100% Difference. We also offer random-sample auditing and additional services based on the needs of the client and the provisions of third-party administrator contracts.

At Healthcare Horizons, medical audits constitute the majority of the services we perform for our clients. We specialize in auditing 100%... read more

Healthcare Horizons performs comprehensive dental claims audits for clients who provide self-insured dental benefits for their employees.... read more

For self-insured companies that offer vision care benefits for their employees, Healthcare Horizons can conduct comprehensive vision audits... read more

For employers who self-insure their employees' pharmacy benefits, Healthcare Horizons offers comprehensive pharmacy audits to verify... read more

In addition to our range of healthcare audits for self-insured employers, Healthcare Horizons offers a number of related services. With... read more