Provider/Doctor Services

TPA Benefits provides tools that allow Healthcare providers to interact with TPA's for eligibility and claims lookup. Verification of eligibility and access to claims information are the far and away two biggest interactions between TPA's and providers. TPA Benefits uniquely offers a provider view, which makes this information available to Providers via a secure and private website 24x7. In addition, providers can also access their patients' SPD information. In the end, TPA Benefits has removed the time-consuming barriers of phone, voice-mail and fax.

• View Claim Information and History
• Enable employees to view their own claims activity
• Free your HR personnel to carry-on HR activities
• Claim Notification
• Summary Plan Description
• Claim Messages
• Pre-certification
• Eligibility
• Reduces the workload of human resources professionals by managing member eligibility records
• Coverage Status
• Electronic claim filing *
• Contact Customer Service *
• Document Management
• Eliminate outdated, hard copy forms and documents
• Reduce the cost of printing, copying and assembling
• Avoid labor-intensive distribution practices
• Branding
• Determine the look and feel of your own site
• Keep your name and branding initiatives at the forefront