What is a TPA?
Client Service
Leading Edge Technology
Innovative Products
Summary
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Health Plans, Inc. believes in front line client service. That's why we employ a
significantly higher number of representatives dedicated to client service than
our HMO, insurance company and TPA competitors. The results: more staff to meet
special client needs.
Client Participation in Benefit Issues
Recently, more than 200 of our clients joined insurance consultants and industry
experts at an annual client conference hosted by Health Plans, Inc. Conferences
like this one feature national experts speaking on a number of key issues and keep
our clients on the leading edge of changes that affect their benefit programs. The
Health Plans, Inc. client conference is an example of our firm's commitment to
including clients in the benefit development process.
Individual Attention to Claims in a Team Environment
At Health Plans, Inc., claim examiners are assigned responsibility for specific clients
and at the same time they serve as part of a claim team that provides mutual support
and service. Additionally, a special claim audit group reviews claim processing
activities to assure that benefits are paid according to highest corporate and industry
standards. Our team support concept offers a high level of customer service and assures
accuracy.
Cooperation with Physicians and Medical Providers
Medical cost managers agree that successful healthcare strategies demand a closer
cooperation between health plan sponsors, physicians and other medical groups. To
further this cooperation, Health Plans, Inc. employs a provider services group. A special
team of administrative and medical experts work with the thousands of physicians,
hospitals and other medical providers to assure that benefit allowances are fair and in
keeping with established standards for reasonable billing practices.
Can better service actually cost less?
Heavy industry, as well as firms that employ organized labor, demand a high level of
service, but cost is still a major factor. Surveys show that TPAs spend more for
client-related services and so offer a higher level of service-but at an overall cost
that's 40% to 60% less than traditional insurance company or Blue Cross competitors.
What is the reason for our cost advantage? We spend less for management overhead and
invest heavily in system technology. Our more efficient organizational structure
assures topflight service-while keeping costs down.
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