TPA Benefits provides TPA's of self-insured plans with the tools they need to set themselves apart in a competitive marketplace. Only TPA Benefits provides web-based tools that are truly focused on the unique needs of self-insured marketplace. TPA Benefits improves the flow of information between TPAs, their trading partners, employers, and their employees. Our mission is to provide solutions that can improve the TPA's operating efficiency and level of service, while enabling them to re-sell cost-cutting services to their employer clients. As a result, the TPA will be able to communicate and share information more effectively with its trading partners such as brokers and reinsurers. The TPA can significantly reduce its own administrative costs associated with processes like enrollment, eligibility and claims status, (highly paper, phone and fax intensive), by converting these to web-based electronic processes.

• Policies & Procedures *
• Message postings *
• Provider Search
• Allows users to search for healthcare providers in PPO networks nationwide
• Secure email
• Online marketing website
• Custom data transfers to outsource vendors
• Plan Contracts
• Allows member access to plan-specific contacts
• Restrictions
• Administration of Agent/Brokers
• Administration of Providers
• Authorized User Controls
• Summary Plan Description
• Plan Document
• Downloadable Forms/Files
• Makes it easy for members and employers to access the forms they need electronically, saving telephone and mail time
• Administration Reports
• Billing
• Census
• etc...
• Claim Reports
• Check Register
• Charge Summary
• Specific
• Savings
• etc..
• Website Reports
• Activity Reports *
• Custom Reports
• Website Notification
• Claim Re-pricing
• Care Management
• ID Card Request
• Eligibility
• Reduces the workload of human resources professionals by managing member eligibility records
• Online Enrollment (administration)
• Multiple options to meet the needs of all of your clients
• Eliminate cumbersome and inaccurate paper processes
• Online Open Enrollment (member)
• Online EOB view
• Eliminate costly billing and payment errors due to delays in eligibility determination
• Reduce cost of mailing replacement or duplicate EOBs
• View Prescription Card Information
• View Claim Information and History
• Enable employees to view their own claims activity
• Free your HR personnel to carry-on HR activities
• Order mail order prescriptions on-line
• Allows online members to purchase additional medical products and services
• Access to Content Consumer Websites
• Provide links to valuable preventative health care information
• Plan Design
• Enrollment Design
• Shortcut Features/Tools
• 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