Audit Pricing Contract Mapping

Audit Price Contract Mapping to ensure accuracy. Price Contracts include MRF's, Fee Schedules, and Reference Based Pricing Agreements.

TALON CSM Role

Orient Primary implementation contact on and expose the Benefit Plan table via desktop share. Audit a representative subset of Employer Group/Plan Combinations to ensure accurate Price Contract mapping and precedence.

Client Role

Confirm Pricing Contract mapping with the adjudication engine's Pricing Contract mapping as the source of truth.

Process

Desktop share and audit the Benefit Plan Table.