Real-World Impact

What Teams Achieve with AuditWell

How an Ohio health plan turned audit findings into enterprise-wide recovery

The Challenge: The plan’s audit team was doing solid work on regulatory and quality audits, but leadership suspected they were only scratching the surface. Error findings pointed to systemic issues — patterns that likely extended far beyond the sampled population. But without a way to track root cause and affected claims, those dollars stayed on the table.

The Approach: Using AuditWell, the team expanded their scope without expanding their headcount. They used error findings to trigger root cause investigations, tracking affected claims populations across legacy systems. Flags enabled seamless handoffs between audit, operations, and recovery teams. Real-time dashboards kept leadership informed on savings performance.

$14.8 Million in Found Money

From Inbox
Chaos to
Enterprise
Control

How a health plan with 340,000 members transformed their audit operations

The Challenge: Audit work was scattered across email, spreadsheets, and individual workflows. Teams spent hours distributing transactions, tracking responses, and manually compiling reports. Corrective actions lacked visibility. Recovery opportunities were slipping away.

The Approach: The plan deployed AuditWell across all audit types — regulatory, quality, and performance guarantee — and migrated both audit and operational teams onto the platform. They configured custom error codes, built automated communication workflows, and activated the AuditWell workflow tool “Flags” to manage secondary workflows for corrective actions and recovery tracking.

Every user sees their work — filtered, prioritized, and organized

The Challenge: One client spent 20+ hours per day just distributing audit transactions to team members. Another burned 10+ hours per week searching emails for findings and responses.

The Approach: AuditWell’s real-time work grids changed that. Every user sees their work — filtered, prioritized, and organized exactly how they need it. Auditors see cases from assignment through closure. Managers see team allocation and status. Executives see performance dashboards that update in real time.

No more hunting. No more asking “where are we on this?” No more surprises at month-end.