Due Diligence Reviews of TPAs and MGUs are completed on behalf of MGUs, Insurance Carriers and Reinsurers. The reviews are conducted when contemplating new relationships with a TPA or an MGU.
A review and evaluation of the entity’s policies, procedures and processes is completed, focusing on the following areas:
- Medical Management
- Reinsurance Recoveries
- Accounts Payable
- Accounts Receivable
The organizational structure of the company is reviewed to ensure that they are properly staffed. The workflow is evaluated to confirm that they can effectively and efficiently process new business.