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Contingency Fee-Based, Rx Audit and ERISA Plan Asset Recovery Service

This service conducts a thorough audit of Rx claims to identify anomalies and overpayments, and recovers funds for ERISA plan assets. Free upfront audit offered for the last 12 months, with results in 2-3 weeks. Contingent fee for further audits. Additional savings through ongoing monitoring and pricing concession service. Sample savings per 1000 employees provided. Contact for more information and to arrange an introduction.

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Contingency Fee-Based, Rx Audit and ERISA Plan Asset Recovery Service

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  1. Contingency Fee-Based, Rx Audit and ERISA Plan Asset Recovery Service HR Specialty Products & Services Catalogue Executive Summary A No Frills Distillation of Vendor’s Marketing Collateral Thomas A Ference President & CEO Human Resources Mining & Distribution Co Locating, Validating and Accelerating HR  Innovation Office: 219-662-0201 Cell: 630-240-2583 Fax: 219-661-0236 e-mail: tference@hrmdco.com Website: www.hrmdco.com

  2. All Rx audit services vendors focus on identifying anomalies and overpayments related to areas such as contract adherence on discount guarantees, mis- categorization of drugs, benchmark unit pricing, etc. • However, once the errors are identified, these vendors fail to recoup the funds / ERISA plan assets as required by law. • This service provider offers a free-upfront audit of the last 12 months’ worth of Rx claims in order to assess the potential opportunity. • Takes only two to three weeks to get results from first 12 months audit Contingent Fee Rx Audit & Plan Asset Recovery

  3. If the client desires, thereafter the vendor will audit the remaining open years and retain a percent of savings contingency fee. • Minimal HR staff time required if auditor provided with a PBM authorization letterallowing auditor to access the Rx claims file • Conservatively, the program recovers between 2-4% of the total pharmacy spend conducted over a 2 to 3 year retrospective audit of 100% of paid pharmacy claims. • An optional PEPM-based on-going monitoring and pricing concession service typically produces between a 5% and 10% additional savings Contingent Fee Rx Audit & Plan Asset Recovery

  4. Sample Savings Per 1000 Employees

  5. This product/service is contained in the HR Specialty Products & Services Catalogue™ • Operational level details about this particular service provider can be obtained in conference with the vendor • The HR Mining &Distribution Co. is an independent and contracted representative of the vendor • Upon your request, we will arrange for an introduction that can range from a simple, quick conference call to a services overview / system demo • Tom Ference 219-662-0201 (Chicagoland area) or tference@hrmdco.com • Thank you for your potential interest in this fresh thinking Next Steps

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