A service provider engaged in the performance of administration, clerical and managerial functions related to insurance policies or employee benefit plans.
Claims administration service conducted by entities specializing in the management of self-insured benefit programs. The TPA may collect premiums, determine employee eligibility, determine covered services, pay claims, prepare management information reports and provide other administrative services. The TPA is often able to provide reinsurance brokering, cost containment programs, and a full range of employee communication programs. Insurers may sell administrative services to self-insured employers, but this is described as "administrative services only."
A TPA may collect premiums, process claims, or provide administrative services for a benefit plan.
Business firms that contract to provide administrative services, such as claim handling, to other businesses.
a firm which provides administrative services for your employer or other associations having group insurance policies
An administrative organization other than the employee benefit plan or the health-care provider that collects premiums, pays claims and/or provides insurance administration services.
A company that provides plan administration and record keeping services to a plan sponsor. The third-party administrator may also provide investments to the plan.
An outside person or firm, not a party to a contract, that maintains all records regarding the persons covered under the insurance plan.
An outside firm (not party to the insurance contract) that maintains all records of persons covered under an insurance plan. The TPA also may pay claims, issue premium notices and provide other administrative services.
An entity with which an employer may contract to handle various recordkeeping duties.
Clients who handle the administration of the program for a group or insurance company. The TPA is considered the plan sponsor and is therefore financially responsible.
A company that administers group benefits, claims and administration for a self-insured group. A TPA does not have the financial responsibility for paying benefits.
Method by which an outside person or firm, not a party to a contract, maintains all records regarding the persons covered by an insurance plan. Entity also may pay claims.
TPAs administer employee benefit plans under contract with insurance companies, HMOs, and self-funded plans. They are regulated by TDI.()
specialized plan administration firms that generally act as an extension of the plan sponsor and perform recordkeeping and other ministerial duties.
Claims payer who assumes responsibility for administering health benefits plans without assuming any financial risk. Some commercial insurance carriers and Blue Cross/ Blue Shield plans also have TPA operations to accommodate self-funded employers seeking administrative services only (ASO) contracts.
An independent person or corporate entity (third party) that administers group benefits, claims and administration for a self-insured company/group. A TPA does not underwrite the risk.
An entity that performs all or part of administrative services for health plans, including the processing of claims. See also administrative services only.
Organization that administers an insurance contract for a self-insured group but that does not have financial responsibility for paying claims. Self-insured group pays its own claims.
A person or organization that provides certain administrative services to group benefit plans, including premium accounting, claims review and payment, claims utilization review, maintenance of employee eligibility records, and negotiations with insurers that provide stop-loss protection for large claims. These entities often serve employer health plans that are "self-insured" under ERISA, substituting for many of the functions of state-regulated commercial insurance companies.
(1) An organization that provides administrative services for customers of a financial services company. (2) In group insurance, an organization that administers group benefit plans for a self-insured group but that does not have financial responsibility for paying benefits.
A corporate entity that handles group benefits, claims, and administration for a self-insured company or group. TPAs arrange for reinsurance coverage, contract with physician/hospital networks, and manage the claims-payment process. Generally, a large corporation or benefits administrator might contract with a TPA to design and administer a customized health plan. (See "Benefits Administrator.")
Individual or company that accepts responsibility for administering some or all of an employer's benefits programs.
An organization or individual contracted by a self-insured employer or insurance company to handle the administration and, in some cases, the payment of claims. Also referred to as TPA.
A consultant to the insured employer that maintains all records about employees covered under the health care plan.
Company that acts as a go-between for the members of a group plan and the insuring organization.
An organization that provides specific administrative duties (including premium accounting, claims review and payment, arranges for utilization review and stop-loss coverage) for a self-funded plan.
Outside group that performs clerical functions for an insurance company.
An external organization that handles administrative duties and sometimes utilization reviews. Third-party administrators are used by organizations that actually fund the health benefits but do not find it cost-effective to administer the plan themselves.