Data-driven PBM contract compliance services to protect your pharmacy benefits
South Shore Benefits Auditing provides comprehensive auditing and compliance services for PBM contracts. Our services are designed to identify overcharges, ensure contract compliance, and recover money owed to you.
Our core auditing services help identify discrepancies between contracted rates and actual charges in your PBM agreement.
We analyze your PBM contract against actual claims data to identify any pricing discrepancies or contractual violations.
Our detailed claims analysis compares what you were charged versus what you should have been charged under your contract terms.
We verify that MAC lists, AWP discounts, and rebates are being applied correctly according to your contract.
We provide comprehensive reports and work with you to recover any identified overcharges from your PBM.
We offer specialized services tailored to different client types
Partner with us to offer PBM auditing services to your clients. We help you add value by identifying cost savings opportunities.
Protect your organization's pharmacy benefits with comprehensive PBM contract auditing.
Illinois school districts face unique challenges. Our services help school boards ensure best value from PBM contracts.
We assist trustees in analyzing PBM contracts to identify potential recovery opportunities for creditors.
Contact us for a free consultation. We'll help you understand your options and how Illinois and Indiana law can work for you.
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