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When health and pharmacy plan sponsors switch to a new third-party claim administrator or pharmacy benefit manager, it's vital to schedule an implementation audit at the 90-day point. You need independent verifications that claim payments are off to a smooth start and your plan's interests are managed well. New TPA and PBM relations customarily come with many promises about better service – but the only way to know if it's happening is to audit. It's also crucial to review 100-percent of claims with sophisticated audit software capab... more