TPA

The pressure to reduce healthcare costs – without sacrificing high-quality care – is constant; we’re here to help. With TPA, navigation, transparent fee negotiation, subrogation, eligibility audits, and stop-loss, all designed to deliver results.

Maximizing the value of a plan means maximizing the health of its members. Our TPA, navigation, and payment integrity solutions help provide continuity of care and greater health equity through utilization review, case management, condition management, and industry-leading wellbeing programs.

Health Plan Solution Enhancements

Members can now register with their member ID or SSN
Members can view their plan benefit documents on the My Benefits page
Members will receive email notifications when announcements are posted
Clients can now track the status of their submitted Enrollment/Change forms on the myCare admin console
Providers can now see important announcements
Additional engagement metrics have been added to the reporting page
Providers can now view member plan documents on the Benefits tab in the Provider Hub