We offer core Third Party Administration (TPA) services with tailored management and integration capabilities for limited benefit and special population health plans. We combine best-in-class TPA solutions with customized configurations to meet healthcare industry standards and the unique requirements of these specialized health plans.
Our healthcare TPA services span member benefits and customer services, provider network and relations management, medical benefits policy management, Prior Authorizations and Utilization Management, claims processing, TPA data and business information management, and enhanced stakeholder engagement via member, provider, and business partner portals.
Our integrated approach reduces redundancies, increases continuity across systems and stakeholders, and improves the portability of services and data. Our approach ensures high-volume processing as well as end-to-end management and continuous improvement of enterprise-wide business processes.