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Aon Hewitt audit flags claim-handling errors at UnitedHealthcare; board seeks corrective action
Summary
Aon Hewitt presented a 2014 blind audit of UnitedHealthcare that found 12 errors in a stratified 220-claim sample and targeted underpayments including one corrected $208,080 denial; commissioners pressed for universe-level impact estimates and asked UHC to provide a corrective-action plan within three weeks.
Aon Hewitt presented the 2014 claims-audit results for UnitedHealthcare to the Health Service Board and identified both improvements and areas needing correction. Todd Hall of Aon outlined the methodology — a stratified 220-claim sample plus two targeted sets (10 high-dollar claims and 10 end-stage renal disease claims) — and reported 12 total errors in the sample (nine in-sample, three out-of-sample). Aon said financial accuracy and overall accuracy improved from the 2012 audit while the frequency of…
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