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HSS reports 95% compliance in 2024 dependent eligibility verification audit; estimated $417,000 annual savings

San Francisco Health Service Board · August 8, 2024
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Summary

HSS reported results of the 2024 Dependent Eligibility Verification Audit (DIVA): 985 sampled active members with 2,127 dependents, 95% compliance, 104 dependents terminated for ineligibility (5%), and estimated annual savings of $417,000; appeals and communications strategy were discussed.

Augusto Divinci Velasquez, operations manager for SFHSS, presented the results of the 2024 dependent eligibility verification audit on Aug. 8, reporting high compliance and modest estimated savings while outlining outreach and appeals procedures.

Velasquez said the audit sampled about 985 active members with a dependent population of approximately 2,127 and achieved a reported compliance rate of 95 percent. At the data pull, 104…

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