- Targeted Claim Audit
- Randomized Claim Audit
- Operational Review
- Pharmacy Benefit Audit
Stop Loss Services
- Specific Stop Loss Claims
- Aggregate Stop Loss Claims
- HMO Re & Provider Excess Claims
- Carrier & Reinsurer Claims
- Claim Overflow Management
- MGU Audits
- Administrator Audits
Consulting Services
- Plan Document Review
- Stop Loss Policy Review
- General Claim Consulting
- Complex Claim Reviews
- Claim Quality Review
- Training
