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Population & Demographics
Dependent Eligibility Engine
Dependent verification and eligibility validation. Identifies ineligible dependents, quantifies cost impact, and projects savings from audit programs.
3-8%
Ineligible Rate
$8,500
Annual Cost/Dep
85-90%
Audit Accuracy
$340K
Avg Savings
Engine Capabilities
Eligibility Verification
Cross-references enrollment data with legal documentation (marriage certificates, birth certificates, divorce decrees) to identify ineligible dependents including ex-spouses, overage children, and undocumented relationships.
Cost Impact Quantification
Calculates the financial burden of ineligible dependents by tracking claims history, premium contributions, and administrative costs, projecting annual waste from documentation gaps.
Audit Program ROI
Models the return on investment of dependent eligibility audits including vendor costs, HR time allocation, removal savings, and ongoing compliance monitoring effectiveness.