I'd appreciate getting names, addresses or contacts at firms which do audits of medical claims at TPAs for self-funded programs. What has been your experience or results with them?

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Inquisative

I have heard good things about Trilogy Consulting Group, Inc. out of Chicago. Contact: Kathy Martin-Smith, 630-953-6278, and you may use my name.

I have no connection with them, but a few of my clients use Trilogy and like the service.

I have a client that uses Bluff Head Enterprises, Inc., 105 Main Street
Wakefield, Rhode Island 02879. Ask for Sam Slade, (401) 782-1250.

I have worked with Kathy DelFavero, President of HBCI, for the last 8 years and consider her the best claims and operational auditor in the industry. As a former VP of a national medical stop loss company, I used many audit firms for self-funded programs. By far, Kathy is the most technical and accurate auditor. I highly recommend her. You can contact Kathy at 630-406-1959. If you have any other questions, please feel free to call me.

Jack Hill, President
OHC
630-668-8551