PBM Claim and Contract Audit

Quest Analytics Group utilizes a propriety technology to analyze 100% of the pharmacy claims based on the PBM contract terms. Many payers do not perform audits on their pharmacy claims or contracts during the life of the contract, they rely on the PBM to self-report their findings. Performing an annual audit holds the PBM accountable, identifies errors and ensures the PBM adheres to the agreed contract terms.