Service Category 3 – Claims Auditing Tasks. Tasks that may be permissible for Service Category 3 include, but are not limited to: • Audit Customer information processed during audit period. • Operational assessment of administrative operations. • Evaluate compliance with statutory, regulatory, and contractual requirements. • Proactively search for potential fraud and abuse.
Appears in 9 contracts
Samples: State Term Contract, State Term Contract for Benefits Consulting, Actuarial and Claims Auditing Services, State Term Contract
