USAble Mutual Insurance Company

Hospital Bill Audits

Hospital bill audits save millions of dollars each year to help control premium costs for group members. For this service, USAble Mutual Insurance Company uses several vendors, primarily HealthDataInsights. The audit company helps USAble Mutual verify hospital charges and correct errors in hospital billing.

Claims submitted to USAble Mutual meeting certain criteria with charges that are more than a certain dollar threshold amount are prescreened and sent to the audit company, which determines if they are a good candidate for audit. Auditors review hospital bills for reasonableness and flag questionable charges. They conduct audits on site.