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MorningsideHealth & Risk

How do I prepare for a premium audit?

Three categories of records:

  • Payroll records — by class code, summarized monthly or quarterly. If you use a payroll provider (ADP, Paychex, Gusto), they typically supply audit-ready reports.
  • Subcontractor records — payments to 1099 contractors plus their certificates of insurance proving they carried their own coverage. Subs without COIs may get added to your payroll for audit purposes, materially increasing premium.
  • Sales/revenue figures — by class for general liability, by location, by operation type.

Common audit surprises: misclassified employees (clinical staff with admin duties getting reclassified upward), uninsured subs (added to your payroll), and revenue growth that pushed you over the policy's basis.

We pre-review audits before they go to the carrier when clients want a second set of eyes — it's not unusual to find errors in the audit findings that we contest.

Category
Billing & Claims
Audience
All audiences
Topic
General

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