Testing Objectives: 1 Investigations and compensability decisions have been made timely. 2 Reserves were set timely. 3 All indemnity payments are accurate and have been properly authorized. 4 The indemnity benefits are continuously monitored. 5 TPA benefits are accurately monitored. 6 activities are properly monitored. 7 Overpayment waivers are monitored. 8 Fraud Considerations.
Includes steps for using ACL data analytics testing
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