DELIVERING END-TO-END HEALTHCARE COST
CONTAINMENT FOR EMPLOYERS AND INSURANCE
CARRIERS


Dependent Eligibility Verification Audit

Each year, Consova identifies thousands of dependents who do not meet plan definitions of an “eligible dependent.” The simple fact is ineligible dependents inappropriately utilize up to a staggering 3-5% of plan assets. Learn how Consova delivers unmatched results while offering employees the smoothest, most user-friendly audit experience possible.

Working Spouse Provision Audit

Consova’s Working Spouse Provision audit enables employers to boost participation in the rule by 300% or more by confirming the availability of coverage directly with a spouse’s employer. Learn how your plan can achieve 30% participation in its spousal surcharge or spousal carve-out rule.

Ongoing Dependent Eligibility Verification

Consova offers comprehensive Ongoing Dependent Eligibility Verification services to maintain plan integrity between full dependent audits. While ongoing dependent eligibility verification audits are important for any employer, they are critical for any organization with high levels of employee turnover or geographically dispersed employee populations.

Payment Integrity

Through proven audit practices, Consova identifies and recovers overpayments caused by inaccurate contract repricing, improper coding and misapplied reimbursement methods. The combination of expert audit and coding staff coupled with Consova’s Precision Analytics® technology enables Consova to reign in wasteful spending and recover lost healthcare dollars.

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