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Episode 5 – Claim Adjudication and Reconciliation: Key Concepts Plan Sponsors Should Know

Claim adjudication and claim reconciliation are critical — but often misunderstood — components of pharmacy benefit management. In this episode of Benefits Bites, Mike and Madison break down how these processes work, why they matter for plan sponsors and how recent legislative and regulatory changes are reshaping rebate and price guarantee requirements.

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In this podcast

Michael Stull, MBA

Employers Health | Chief Sales Officer

Since 2004, Mike Stull has been a contributor to Employers Health’s steady growth. As chief sales officer, Mike works to expand Employers Health’s client base of self-insured plan sponsors across the United States.

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Madison Connor, J.D., CEBS

Employers Health | Senior Vice President, Regulatory Compliance and External Affairs

Madison is responsible for monitoring state and federal legislative and regulatory developments that may impact employer sponsored health plans.

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