Product Description

Three expanded Excel files (Commercial/Exchange, Medicaid, and Medicare) for documenting NCQA audit findings of individual appeal files. Each worksheet lists factors for the product line. As the auditor scores the file, results are tabulated with a percentage of compliant/non-compliant. Priced by the number of individuals who will use any of the tools for internal audits and delegation oversight audits. Thereafter, an annual licensing fee applies as MHR updates worksheets annually.

Product Details:

Standard: UM 9

Standard Year: 2025

Type: File Audit Tool

 Length:  

- Instructions
- Summary Results
- Individual Results for 1-10 Files

Price:

List Price for Non MHR Clients: 

Varies by the number of users. Click here to learn more.

MHR Clients: Varies by the number of users. Click here to learn more.