There are a host of reasons why companies audit their paid pharmacy claims. For most, the fiduciary responsibility to manage costs proactively for stakeholders is a key driver. Payers that have changed vendors, implemented new benefit designs, or offer a wide range of options for employees recognize the resulting complexity can increase the likelihood of payment errors.

Larger companies and health plans are affected by laws such as Sarbanes-Oxley and may need to ensure that their oversight practices include adequate auditing and accounting. Caribou has assisted clients in all these situations by providing comprehensive pharmacy claims auditing services.

Caribou's deep expertise in this area has allowed us to develop sophisticated methodologies - and our CRx solution to implement those methodologies - enabling us to audit tens of millions of claims accurately and precisely. Major payers have relied on Caribou's pharmacy claim audit services for years. They count on our staff's decades of experience in pharmacy benefits, and the unparalleled value and service that we deliver. Most importantly, they know that we provide them with completely reliable and objective information because we are an independent company, with no affiliation of any kind with any of the many firms that design or sell benefit plans. Click here to view a CRx overview (PDF)