A Comprehensive Approach

A third-party administrator (TPA) is an organization that processes insurance claims or certain aspects of employee benefits plans for a separate entity. Instead of working with a traditional carrier, a TPA is a good option for employers who:

• Want more control designing and executing their health plan
• Have a stable workforce that allows predictible modeling with their plan, year after year
• Have specific goals for their employees’ health care management that are unique to their organization, not met by a traditional model
• Need benefit options that are difficult to administer through a traditional carrier model, such as:
• Elaborate billing/group arrangements
• Ability to omit specific programs altogether (ex. Wellness)
• Purchasing on a spectrum, with no opt-in or opt-out of select benefits
• Specific network requirements, like an on-site clinic or hospital network
• Want more flexibility and customization, such as:
• Consolidated experience across multiple vendors
• Speed to market – implementing and changing benefits quickly

When it comes to choosing a TPA, CareFirst Administrators leads the pack with:

• Seamless account on-boarding
• Access to BlueCross and BlueShield networks at a global scale
• More stop-loss options
• Steep discounts and more provider choices for your employees

We are recognized for our business ethics and customer service orientation. Our relationships are based on understanding client vision and bringing it to life.

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