SOURCE: The Sentinel Group

December 03, 2007 12:17 ET

The Sentinel Group Signs Summit Administration Services TPA to Receive Its Health Claim Anti-Fraud Services

LAKE FOREST, IL--(Marketwire - December 3, 2007) - The Sentinel Group, a leader in health claim fraud and abuse services, recently signed Summit Administration Services, a third party administrator (TPA) based in Scottsdale, Ariz., as a new client.

As of January 1, 2008, The Sentinel Group will review and evaluate all medical claims submitted to Summit for possible medical provider fraud or abuse. These services will be automatically included in Summit's suite of services for its TPA clients.

"We at Summit look forward to enhancing our fraud detection programs by utilizing the extensive capabilities provided by Sentinel," said Alfred Gregory, President of Summit Administration Services.

"Healthcare defrauders are growing ever more sophisticated in their methods," said Julie Malida, Sentinel Group President. "Third party administrators such as Summit realize the need to align current programs with professionals in order to remain competitive and to foil the latest rash of perpetrators. Through The Sentinel Group's anti-fraud program, Summit not only protects its members' interests against fraud and abuse today, but also puts future healthcare defrauders on strict alert."

About Summit Administration Services

Founded in 1996, Summit Administration Services, Inc., headquartered in Scottsdale, Ariz., provides third party administrative and related services for self-funded employee benefit plans, workers' compensation and property and liability. Summit also creates turnkey, partially self-funded employee benefit plans for clients.

About The Sentinel Group

The Sentinel Group, a division of Optimal Benefits Services, Inc., based in Lake Forest, Ill., is a recognized leader in the healthcare anti-fraud and abuse industry. The company has one of the most experienced teams of fraud investigators, and is supported by sophisticated, state-of-the-art technology and years of in-depth intelligence gathered nationwide from healthcare providers.

According to the General Accounting Office, it's estimated that up to 10 percent of all healthcare claims that insurance companies, association health plans and third party administrators (TPAs) receive are fraudulent, abusive or erroneous. Through its screening and investigation of suspect billing practices, The Sentinel Group saves its clients money that would otherwise be paid on fraudulent and abusive health claims. For more information, visit

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