Solutions
TPA Services
Benefits, Inc. is a company dedicated to providing
technology solutions for today’s Progressive Third Party
Administrator. The TPABenefits Web Application is “Built
By TPAs…For TPAs…”. Each TPA Client has a direct
role in the ongoing design and development of the product and
all TPA’s participate in future enhancements and upgrades.
The primary goal is improving productivity, giving TPA’s
the internet based tools necessary to compete in today’s
progressive market. The TPABenefits Web Application puts the TPA
in control of both the “users” of information and
the “content” they are authorized to view. TPA’s
are able to build a solid foundation for long-term revenue growth
through enhanced adjudication and/or “Per Employee Per Month”
fees. The TPABenefits Web Application connects providers, consumers,
employers, administrators and vendors with an integrated database.
The Web Application provides a fast and efficient method of delivering
clear, on-demand and up to date information to Plan Sponsors and
Stop-Loss Carriers.
Plan Sponsor Services
The
TPABenefits Web Application allows employers and employees to
communicate with each other through the Web Application. This
method of communication improves accuracy and saves a considerable
amount of time and energy. Plan Sponsors are able to generate
reports, as needed, improving decision-making and member communication.
Plan revisions to benefit schedules, are made with confidence.
The TPABenefits Web Application reduces administrative hassles,
improves employee moral and cuts costs.
Agent/Broker
Services
The
TPABenefits Web Application provides plan representatives with
the on-line tools necessary to fully service self-funded accounts.
Through authorized access, plan representatives can get answers
to specific questions by simply accessing the Web Application
through the Internet. Information accessed through the Web Application
is fully customizable and scalable, to fit the needs of the plan
sponsor and the plan representative.
Member
Services
The
TPABenefits Web Application allows plan members to view their
Schedule of Benefits, Plan Document, personal claim information,
locate medical providers and access other web sites helpful in
conducting research on medical issues and information.
Provider
Services
The
TPABenefits Web Application allows Medical Providers to verify
benefits and check on the status of previously submitted claims.
Medical Providers are gaining access to Internet Web Applications
through their practice management software. Medical Providers
can access this information 24 hours a day, 7 days a week saving
valuable time and the costs associated with staffing requirements.
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