Third Party Administrator

The game has changed. Third Party Administrators can no longer simply pay claims, answer phone calls within three rings and print cards for plan members. To differentiate their business from competitors, TPAs must be health plan resources for their customers and their broker/benefit consultant partners. TPAs across the nation utilize Benefit Informatics online technology and our industry expertise to do just that -- gain a competitive advantage and offer their clients enhanced access to information. Benefit Informatics’ commitment to our payer customers is simple and concrete – we will help you sell more business, keep the customers you have and do more with your current resources. Let us help you Sell, Keep and Do MORE.

Benefit Informatics helps you address each of the following situations:
  • Data from claims, eligibility, PBMs, disease management and billing are all kept in separate locations and you need to bring them together to get a clear picture of your business.
  • A broker calls wanting five different reports on his employer client, by this afternoon
  • An employer wants to know exactly what is driving increased utilization in their health plan and how they can make changes to control costs.
  • Hospitals and physicians want to check member eligibility and claim status online, 24 hours a day instead of using the telephone or fax.
  • Employees want to see their claim status today and not wait for it to be mailed.
Case Studies and Testimonials
Our customers are our best sales people. Benefit Informatics has grown primarily through word of mouth as customers tell others about our solutions and service commitment. TPAs like Benefit Administrative Systems in Chicago, Unified Group Services in Anderson, Indiana and HealthFirst TPA in Tyler and Houston, Texas have shared their comments with others through testimonials and case studies. Please take a few minutes and read how we have helped these leading TPAs increase their business and operational efficiencies.

Our TPA Solutions
  • Data Analysis & Reporting
  • Plan Modeling & Forecasting
  • Member and Provider Communication
  • Online Enrollment
  • Data Integration
  • Data Warehouse
  • Healthcare Analytics
  • Healthcare Financial Analysis