March 29, 2018 - 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...
March 27, 2018 - 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...
March 6, 2018 - As employers, employees, and brokers rush to submit enrollment and eligibility files before year-end, third party administrators (TPAs) find themselves swamped with entering this data in just a few weeks time. Adding fuel to this...
February 6, 2018 - Healthcare administration costs have been a hot topic recently. Hospitals and physicians are attempting to cut costs on administration, which can contribute up to 25% of total healthcare costs. One of the major reasons healthcare...
January 29, 2018 - In today’s changing health care industry, hospitals and physicians are constantly looking for ways to reduce their costs and increase profits. With hospital administrative costs now exceeding 25 percent of their expenses, healthcare providers are...
January 22, 2018 - Health Insurance Administration is an essential part of the claims and filing process. This extremely complex process, coupled with the numbers of payers in the system leads to increased costs for service providers and insurance...
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