Dependent Eligibility Audits

Benesyst’s Dependent Eligibility Audit (DEA) service is an end-to-end process that verifies the eligibility of all dependents listed by employees to receive health care and other employer-funded benefits. In this process, the audit identifies those dependents who cannot or do not meet the documentation requirements within the context of eligibility for dependent status. This comprehensive, entire-population audit combines clear communications about process and timelines, documentation analysis, compliance assessment and disposition in a context of a secure process respecting the sensitive, personal nature of the information provided in full compliance with HIPAA. 

Real Impact

With most organizations reporting an average 4 to 7 % reduction in the number of eligible dependents, organizations  can achieve significant cost savings by eliminating coverage for participants who do not qualify as eligible dependents.