Securely collect automated claims files and EOBs from insurance carriers to reduce clerical work associated with substantiation and reimbursement
EOB management and automated claims processing has never been easier. Our Claims Harvesting software securely collects automated claims files and EOBs from insurance carriers on behalf of your participants. It then makes them accessible in a secure web-based application for easy processing. Using our software, reimbursement is quick, payments are accurate, and administration is simple. Just look at how the TPA Stream was able to support the Office of Compliant Administration (OCA) with claims substantiation automation to grow and scale smoothly.
To fully harness the power of automated claims data, be sure to review our streamlined process, benefits, benefit categories, and supported integrations.
How It Works
Participants enroll in EasyEnrollment
The participant registers with a simple, branded registration process.
Connect the insurance carrier and ben admin systems
In real-time, TPA Stream connects with the insurance carrier benefits portal
Collect necessary claim details
We collect the EOBs, claim details, diagnosis code, procedure codes, and screenshots
Enjoy easy access to benefits data and streamline operations
Send data to any of our supported benefit administration systems to automate substantiation and reimbursement.
Watch the Overview
It’s never been easier to securely get claims information for any benefits category from over 200+ carriers. Check out the video below to see Claims Harvesting in action.
Streamline benefits claims collections
We make it easy with EasyEnrollment
The automated claims process starts with a simple registration procedure for your participants, which we call EasyEnrollment. TPA Stream will send them a registration email complete with your branding, inviting them to connect their benefits portal to TPA Stream. Participants select their health, dental, and vision carriers and enter their login credentials to link their accounts. From there, we’ll begin pulling claims data.
Claims Retrieval
All claims and supporting documentation are then collected from the benefits portal and copied into TPA Stream. We collect all claim information available including detailed claim information, diagnosis code, procedure code, screenshots, or PDFs of the EOB for backup documentation. You’ll have access to all the details you need through a secure and easy-to-use administrator portal. We connect to leading benefit administration systems like Alegeus, WEX Health, First Dollar, and Employee Navigator to make substantiation and reimbursement simple.
Key Claims Harvesting Benefits
Integrates with Leading Benefits Administration Software
We integrate with leading benefits administration platforms. Claims Harvesting is the missing link between the benefits administration software and the insurance carrier.
Streamline Your Operations
Eliminate paperwork and manual substantiation to operate more efficiently. You can reduce time spent, labor costs, and opportunity for error almost entirely.
Win Market Share
Stand out from your competition as a tech-forward, consultative TPA with an enhanced participant experience and plan use data. Employers are clamoring for more information about their benefits amid rising costs. Answer their call with Claims Harvesting.
Supported Benefit Categories
CDH
COBRA
Transit
Cafeteria Plans
Supplemental
Medical
Dental
Vision
& More
Supported Integrations
Integrate with your benefits administration software and accounting software to simplify your entire billing workflow. Our most popular integrations include:
Chances are we can build an integration for the administration software you have. We have nearly a decade of experience doing so for some of the country’s leading TPAs.
Explore The Impact of Automated Claims Data
“TPA Stream has allowed us to become more profitable. We’ve automated so much that we can now allocate time and resources elsewhere to grow more and scale up.”
– Ross Honig, OCA’s Senior Vice President of Business Development
Get Started
Complete the lead form to learn more about Claims Harvesting.
Frequently Asked Questions
Do I need to download TPA Stream?
TPA Stream is a web-based application. You do not need to download any software to use TPA Stream.
How do you keep information secure?
We are HIPAA compliant and SOC II Type 2 certified. You can learn more on our Security page here. We also have a variety of access permissions you can configure for your team so the right people have the information they need to service your clients.
What software do you integrate with?
We’ve built direct integrations with Alegeus, WEX Health, First Dollar, Employee Navigator, and more. Our Claims Harvesting solution works well in tandem with other aspects of our platform including Consolidated Invoicing and Communications.
How do you get the claims data?
The participant authorizes TPA Stream to collect their claims from their benefits portal and provide this in our secure application for limited purposes.
Can I upgrade my plan later?
We work with our clients to establish a plan that fits. As you grow, we can scale to meet the needs of your business with additional functionality based on your needs.
How do I get started?
We work with you to set up your Claims Harvesting dashboard and provide your employers with information on the Easy Enrollment process for their employees.
What carriers do you support?
We currently support 200+ carriers and build out new technology if you have a carrier we do not yet support.
How do I learn more?
Schedule a call with us and let’s get to know your needs.