2016 State of Montana employee group benefits claim audits

2016·2.8 MB·English

by  Claim Technologies Incorporated

TABLE OF CONTENTS
EXECUTIVE SUMMARY OF CIGNA’S ADMINISTRATION OF MEDICAL BENEFIT PLAN
EXECUTIVE SUMMARY OF DELTA DENTAL’S ADMINISTRATION OF MEDICAL BENEFIT PLAN
EXECUTIVE SUMMARY OF MEDIMPACT’S ADMINISTRATION OF PRESCRIPTION BENEFIT PLAN
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Comprehensive Claim Administration Audit
EXECUTIVE SUMMARY
State of Montana Medical Plans
Administered by Cigna
Audit Period: January 1, 2014 through December 31, 2015

Presented to
State of Montana
July 13, 2016

Presented by

Known in Montana as CTI Claim Audit Technologies Corp.

TABLE OF CONTENTS
Page
INTRODUCTION ..................................................................................................................................... 1
OBJECTIVES AND SCOPE OF COMPREHENSIVE AUDIT.......................................................................... 1
KEY FINDINGS ........................................................................................................................................ 3
RECOMMENDATIONS ........................................................................................................................... 9
EXHIBITS .............................................................................................................................................. 13
A. Performance Measurements
B. Key Performance Indicators and Definitions
C. Cigna’s Response to Draft Report

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