Audits flag parity documentation gaps and processing errors; CTI urges further review and an off‑cycle audit for WellPoint
CTI’s preliminary mental‑health parity audit identified potential non‑quantitative treatment‑limitation (NQTL) and co‑payment discrepancies across GIC plans; a separate claims audit found operational and payment errors at WellPoint, prompting recommendations for focused carrier analysis, contract remedies, and an off‑cycle audit.
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CTI presented preliminary findings from two audits of Group Insurance Commission (GIC) health plans, identifying potential mental‑health parity documentation issues across carriers and payment errors that prompted a recommendation for additional oversight of WellPoint.
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