Established in 1990, we emerged from the experience of professionals with both health insurance and claims administration backgrounds. We realize that the accuracy of claims administration increases dramatically when the claims examiners are subject to independent audits. We operate remotely and in person with insurance companies and third party administrators from coast to coast.
President/CEO, Mary Jean Mullally, has over 30 years of independent auditing and several more with many of the largest TPA's in the country.
President/CEO, Mary Jean Mullally, has over 30 years of independent auditing and several more with many of the largest TPA's in the country.
Services
MIS, Inc. conducts internal audits for Third Party Administrators by reviewing claims that are manually adjudicated as well as auto adjudicated by the claims system.
We provide a service by ensuring the TPA that the information is programmed correctly into the claims system and the examiners are providing quality work.
Our services also afford a comfort level to the TPA clients by providing an outside source to audit the claims.
The audits are certified by MIS, Inc. and are made available to the TPA client groups.
We provide a service by ensuring the TPA that the information is programmed correctly into the claims system and the examiners are providing quality work.
Our services also afford a comfort level to the TPA clients by providing an outside source to audit the claims.
The audits are certified by MIS, Inc. and are made available to the TPA client groups.
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