Client size range from 2,000 to 16+ million members.

Audit Process

Audit Process

VARIS’ proprietary TAPRx Review process is built upon a tri-level risk analysis and stratification of all of the payer’s paid claims.

VARIS’ three-step review process encompassing data analytics, human analysis, and complex medical record review allows health plans to recover maximum dollars on identified overpayments.  100% of your paid claims are reviewed.

 

 

Audits are conducted in accordance with client policies and payment methodology application, including provider contract provisions.