Conduent’s Pharmacy Audit and Compliance Services help healthcare payers and PBMs minimize overpayments, reduce fraud, and maximize spend through onsite audits, desk audits, and concurrent claim reviews. Using proprietary technology and advanced analytics, the solution identifies audit targets and aberrant behaviors while providing real-time reporting via a secure web portal. Services include invoice audits, pre- and post-network credentialing, enhanced fraud, waste, and abuse audits, and drug rebate audits. With auditors who are PharmDs, RPhs, or CPhTs and over 30 years of experience, Conduent delivers accurate, efficient, and locally informed audits that improve compliance and financial outcomes.

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