Billing Reconciliation Services

Due to business time constraints and non-standard billing, many companies have challenges reconciling their benefit premium payments to actual enrollment.  Because of this complexity, HBSC offers Billing Reconciliation and Audit Services.

Sources of Billing Errors

There are multiple benefit billing scenarios including Carrier Billing, Self Billing, and Hybrid Billing. Organizations that do not reconcile their bills eventually encounter significant organizational pain.

Types of Errors:

  1. Inaccurate rates
  2. Inaccurate tiers
  3. Improper plan assignments
  4. People missing coverage
  5. Coverage for people no longer with the company
  6. Improper allocation to department (Cost Centers / GL Codes)
  7. New hire timing issues (In HRIS, not on Invoice)
  8. Inaccurate Cobra payments
  9. Timing of Carrier Bills

*Note – A Hybrid Billing scenario is where the same carrier uses both carrier billing and self-billing for different plans.

Turn-key Billing Reconciliation Solution

  • Compare monthly vendor invoices with data in customer HRIS
  • Analyze errors in benefit premium costs
  • Generate payment amounts for Benefit self-billing
  • Validate and ensure EDI feeds are set-up properly
  • Provide a self-service portal for access to reconciliation reports

Turn-key Billing Reconciliation Solution

Billing Reconciliation Solution

  • Alleviates long hours and headaches for HR / Benefit teams
  • Self-billing totals are accurately presented each month
  • Significantly reduces rework and on-going financial adjustments

Unlimited Flexibility

  • Unlimited resources – a service that can expand and contract with your needs
  • Unlimited relief – knowing that your Benefits are 100% accurate
  • Unlimited freedom – free from tedious (monthly) line-by-line examination

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