HDM is the Leading Independent Source to Audit Health Plan Administration

HDM provides an extensive review of employer health plans administrated by third party administrators and pharmacy benefit managers. HDM audits administrators to measure performance, evaluate contract compliance, evaluate discounts/rebates, audit claims and recover overpayments.

We Answer the Question: How Do You Know?

• Are you in compliance with Federal regulations?

• Are you meeting fiduciary responsibilities?

• Is your plan administrator meeting contractual obligations?

• Is your TPA or PBM paying-out your money properly?

Fiduciary Responsibility

• Hold health vendors accountable for expenditures and performance.

• Make sure you get what you pay for when purchasing health care coverage for employees.

• Assess and monitor internal controls of plan administrators.

Reduce Healthcare Expenses

• Understand and manage healthcare expenses.

• Intelligent Information leads to wise benefit decisions.

• Identify, validate and recover claim errors and overpayments.

Select HDM as Your Auditor

• Independence - No Conflicts under Sarbanes-Oxley.

• Independence - No conflicts of selling, brokering or designing benefits.

• Focus on self-insured plans.

• Warehouses and analyzes 100% of claims and eligibility data.

• Web-based audit project management.

• Experienced team of auditors and project managers.

• HDM knows how to get results.