PillarRx recovered $2,000,000 following a PBM audit!
PillarRx was recently awarded a four-year contract renewal for this Municipal Employee Benefits client. PillarRx provides auditing services and CMS compliance oversight for this municipal benefit plan covering active and retired members.
During a recent annual audit project, PillarRx found errors totaling $2,000,000! Medical and pharmacy claims contained miscoding leading to improper duplicate billings. PillarRx worked directly with the PBM to solve all claim issues and lead the money recovery process for the client.
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