Dependent Eligibility Verification

Send dollars straight to your bottom line with Intelligent Dependent Eligibility Verification

One of the most straightforward and productive healthcare cost containment initiatives is the Intelligent Dependent Eligibility Verification, which validates that all dependents covered by a health plan are eligible for coverage.

Our experience shows that an average of 7% of covered dependents are ineligible for benefits — and that’s after the impact of healthcare reform that liberalizes the age ceiling for dependent coverage.  At an average cost of $3,600 per dependent each year, this translates into a big — and unnecessary — expense.

Here’s how a Dependent Eligibility Verification with Discovery Health Partners works:  you outsource the process to us, and we’ll validate dependent eligibility with efficiency and minimal impact on staff and employee populations.  In a process that typically takes between 12 to 16 weeks, our expert staff uses the data mining capabilities and workflow automation in our Intelligent Cost Containment Platform to verify eligibility with 100% accuracy. Our contingency-based model means you incur costs only when ineligible dependents have been identified — and savings have started.

Sensitivity is a cornerstone of our program, and adapting to your organization’s culture and philosophy is key to our non-intrusive approach.  We use change management and communication strategies to positively affect employee understanding and acceptance. Read more about our commitment to responsible outreach>>.

As an employer, a dependent eligibility audit demonstrates your fiduciary responsibility to manage corporate funds appropriately and shows employees that you’re trying to keep plan costs down so there will be less to pass along to them.  As a payer or administrator providing this service to your groups, you’re showing a commitment to your customer to help them manage the cost of their healthcare coverage. Now is the time to get a better pulse on next year’s healthcare costs and reduce current spending for dependent coverage.

RECENT CASE EXAMPLES:

  • A client with 2,500 covered employees found they were carrying ineligible dependents that were costing them $1.4 million per year in unnecessary expense.
  • For a client who had never performed a dependent eligibility verification before, Discovery Health Partners found 14% of covered employees were ineligible.