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DEPENDENT ELIGIBILITY AUDIT™

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COMPANIES

YOUR COMPANY SHOULD HAVE AN IN-HOUSE DEPENDENT ELIGIBILITY PROCESS TO MAINTAIN ELIGIBILITY COMPLIANCY YEAR-AFTER-YEAR

Managing the cost of healthcare is paramount to the well being of your company and tolerating dependent ineligibility adds unneeded cost. While many companies may occasionally outsource an audit, we believe that an in-house process to maintain eligibility year-after-year is a more lasting solution to this problem.

Maggio Solutions has a complete Dependent Eligibility Audit (DEA) Process™ that can become a key tool in your HR department. The process and automated software can be customized to fit your HR staffing availability and company culture at one-fourth the cost of outsourcing an audit.

Typical Savings/ROI
Dependent Eligibility Audit

Estimated
Dependents
Lower Savings
5%

Upper Savings 15%

300
$38,000
$112,000
500
$63,000
$190,000
700
$87,000
$262,000
1000
$125,000
$375,000
2000
$250,000
$750,000
5,000
$1,250,000
$3,750,000

If you have not yet completed a DEA you will be delighted at the significant savings that can be realized in as little as two months. The Maggio Solutions Dependent Eligibility Auditor process contains everything your company needs to put this process in place. This includes software, training, planning assistance, and consulting. Our free 30-minute webinar will explain the details. Our website also contains useful resources such as DEA articles, discussion forum, DEA overview, and registration for a free private webinar.

TPAs & BROKERS

ARE YOUR CLIENTS OUT-SOURCING THEIR DEPENDENT ELIGIBILITY AUDITS TO OTHERS? WHY AREN'T YOU PROVIDING THIS SERVICE?-

Differentiate yourself by offering a Dependent Eligibility Audit (DEA) service to your existing and potential new clients. Why stand by and watch your clients outsource this valuable service to others?

Maggio Solutions offers a complete DEA line of process solutions for TPAs and Brokers to add this high value process to expand their line of services. Our process is flexible and can be implemented in small firms or national TPAs with many remote sites. It has the capability to process up to 500,000 members and offers an interface to automated fulfillment mailing firms. The process software can be customized to conform to the requirements of any client and each client can have a different implementation model. The software also provides letter templates for every stage of the audit process - automated custom letters can be written in up to nine languages. At the end of the audit, your clients receive a complete audit archive. The Dependent Eligibility Auditor™ process comes with everything you need to implement including training, client audit planning templates, sample contracts, marketing materials, and software.

We offer private webinars which will explain the full process and how it can be implemented at your TPA or Brokerage.

This not only provides a new source of revenue but also builds client retention and provides a service offering to attract new potential clients. Not only will you delight your existing clients with large savings in as little as 2-3 months, but this is also a service that you can perform for them year-after-year to maintain compliancy.

We also offer training to brokers so they can make their clients aware of this high ROI service. If your clients are interested, we can facilitate referrals to our network of TPAs or work with each clients TPAs.

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