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UnitedHealthcare audit: Aon Hewitt finds 98.32% financial accuracy; UHC agrees to corrections and will run impact reports

Health Service Board, City and County of San Francisco · November 13, 2014
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Aon Hewitt's claims audit found 98.32% financial accuracy for UHC City Plan claims; UHC agreed to most statistical errors identified, recovered several overpayments and reimbursed underpayments, and committed to impact analyses for systemic issues and follow‑up corrective actions.

A statistical audit of UnitedHealthcare claims for the City Plan, presented at the Sept. 11 board meeting, found financial accuracy of 98.32 percent across a stratified random sample of 2,220 claims. Aon Hewitt explained that the audit methodology estimated a 1.68 percent mispayment rate (overpayments and underpayments…

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