THIRD PARTY ADMINISTRATION (TPA)

TPA, short for “Third Party Administrator”, is measured by the quality of services it provides. Benefit plan administration has evolved well beyond simply the processing and payment of submitted claims. An administrator must combine experience with technology—“experienced individuals supported by the latest technology”.

The functions of a TPA include:

• Processing and Paying Claims
• Eligibility and Billing Services
• Reporting Capabilities

An administrator must combine experience with technology- experienced individuals supported by the latest technology- to effectively manage the claims process. Where experience is valuable to the process, experience blended with technology is invaluable

SERVICES

• Processing and Paying Claims
• Eligibility and Billing Services
• Reporting Capabilities