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insurance audits

  1. R

    Cigna Medicare aka Healthsprings Issues//Contact Person for Nashville, TN?

    Healthsprings/Cigna Medicare has started some sort of auditing over the past few months, where they are taking small amounts back but their information doesn't match and seems to be random. When we call there is a significantly long wait time to receive their "recoupment packages" and these EOBs...
  2. C

    AdvizeHealth - Anyone have audits with this 3rd party auditor for BCBS-NJ?

    I am managing an audit with AdvizeHealth - a 3rd party auditor for BCBS of NJ, based in Tampa FL, and wanted to hear from members that were audited (Pre- or Post-pay) in the last 3-years by AdvizeHealth and you had to return overpayments? How would you rate the quality / accuracy of the audit...
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