The accurate administration of the plan design agreed to by the Client is an essential responsibility of the pharmacy benefit manager. Just one set-up error may cost the Client thousands of dollars in incorrectly billed claims.  Pharmacy Benefit Auditors compares the benefits set up form agreed to by the client to the claims processed through the PBM system to identify processing errors. In addition, PBA will make recommendations for plan design improvements to provide additional client savings.

Pharmacy Benefit Auditors

BENEFIT ANALYSIS