Services we offer
Customized communication
Participant web portal
Client management platform
Contact center support
Document submission/review
Documentation support
Full program management
Why should you consider a dependent eligibility verification audit?
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Financial benefits
The average annual gross incurred medical cost per dependent exceeds $6,860 with 3% - 10% dependents removed.
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Fiduciary obligations
Mitigate legal risks and ensure compliance with eligibility verification. Uphold fiduciary responsibility to adhere to plan and enrollment provisions.
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Improved accountability
Promote understanding of group health plan eligibility, fostering employee accountability for benefit elections.
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Fewer denied claims
Reduce coverage concerns for ineligible dependents by minimizing insurer and stop-loss carrier refusals of medical expenses.
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Fewer tax issues
Identify and reduce the risk of tax reporting violations.
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Sarbanes-Oxley compliance
Manage the impact on financial controls and anti-fraud measures in accordance with Sarbanes-Oxley.
Proven results
- Typically, 3% - 10% of dependents are identified as ineligible and removed as a result of an audit
- Upon notification of an audit, approximately 2% of employees self-identify as carrying an ineligible dependent on the plan
- Our clients typically experience 2,000% - 5,000% ROI
The Aptia Difference
Consultative approach
Customization to meet your needs
Exceptional service
Proven track record
Unparalleled expertise
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