HCCI has significant experience in performing health claims audits of major insurance carriers and third party administrators. Mrs. Harper has directed audits that have resulted in overpayments up to $5,000,000.00. Mrs. Harper's dedication and commitment to her clients in identifying and recovering lost health plan dollars are the basis for her success in health claims auditing. The HCCI audit will verify that the claims administrator's systems and processes are maximizing the claims paying performance and measure how effectively the health plan is being administered. A claims audit is recommended yearly to protect the Health Plan Funds and to comply with ERISA standards as it relates to fiduciary responsibility. The claims audit is an important tool for identifying all types of errors that may be ongoing such as dependent or employee ineligibles, network discounts, coordination of benefits, subrogation claims, plan language compliance, payment calculations, and duplicate payments. All errors can be costly to a Plan and continue into the future without intervention. The average error rate identified in our book of business will range between 1-5%.