The basics of an EDI 834 file for third-party administrators As a third-party administrator, you’ve likely worked with an EDI 834 file in the past. If the process is not currently automated in your organization,…
What is an EDI 834 file?
How Better Data Leads to Growth for TPAs
Being a TPA is About More Than Benefits Administration It seems straightforward: brokers and employers work with you to administer their benefits programs. This allows their internal teams to focus on other tasks such as…
Using Employee Benefits Data to Create a Better Workflow
How Are You Putting Employee Benefits Data to Work? “Benefits” are more than just wellness products — they’re a cyclical process of learning for TPAs, employers, brokers, and plan participants. Employees and their families are…
The Six Health Data Life Cycle Stages of a New Employee
Managing Employee Benefits is a Cyclical Process But as a third-party administrator (TPA), it’s your responsibility to make that process as smooth and efficient as possible — for yourself, for the employer who’s entrusted you…
Why EOB Automation is the Key to Long-Term Success
EOB automation plays an important role in how your company earns and keeps new relationships — and how it grows internally. Learn more here.
TPA Inefficiency is a Problem — Here’s How to Fix It
TPA inefficiency is a two-fold problem. It starts with the industry itself but is also impacted by your own internal processes. Learn how to resolve it here.
Three EOB Processing Challenges Facing TPAs Today
As a third-party administrator (TPA), you have quite a bit on your plate. You have to build and maintain relationships with brokers who rely on you to keep their clients happy and manage the details…
Rising Healthcare Costs Lead to More Challenges for TPAs
Creativity is Good for (Almost) Everyone Employers and employees facing rising healthcare costs nationwide isn’t new. The days when a low deductible health plan was the only option available to employees — and the only…
TPAs: You’re More Than an Administrator — You’re an Experience
As a TPA, You’re Responsible to More Than Your Brokers and Employers You’re responsible to their participants. The employees and policyholders that are relying on you to assist them with enrollment and claims reimbursement/substantiation — whether…
Four Best Practices for TPA Success
Best Practice #1: Understand Your Groups, Their Participants, and the Needs of Both First things first: Relationships matter. This standard applies to third party administrators just as much as any other organization in any other…