Process Improvement Audits

Compliance Audit + Eligibility for Additional Analysis

The Process Improvement Audit is TRICAST’s mid-level pharmacy claims audit that adds eligibility to the Compliance Audit. This validates the overall effectiveness of your pharmacy benefit program for both claims processing and utilization management.

This audit lowers the cost of your pharmacy benefit program by identifying opportunities to eliminate cost inefficiencies in the process by which claims are paid. The fiduciary requirements are satisfied for pharmacy benefit program management oversight