A company that represents your agency through your workers' compensation claim and its hearings. You may be contacted by the third party administrator for more information on your disabling condition, or to obtain a medical release.
An independent third party who administers a self-funded insurance plan, a flexible spending account, or a health reimbursement arrangement.
This is the company that the Department contracts with to provide administrative services for certain benefit plans (such as ERA and the WDC).
a person or organization that processes claims and may perform other administrative services in accordance with a service contract
a professional organization hired to provide a wide range of benefits claims administration as well as other services
a separate company that does nothing more than administer the dental benefit plan in accordance with the wishes of the employer
Administrator of group insurance type benefit(s) by some person or firm other than the insurer or the policyholder. The TPA usually processes claims and makes payments as well as performing other services.
A claims administrator or insurance company that processes claims on behalf of a self-insured organization or multiple-employer welfare arrangement, or manages workers' compensation claims for an employer. Services may include processing claims (including audits, adjusting, and negotiating settlements), record keeping, self-insurance certification, and notification of excess insurers. Many TPAs use PureShare ActiveMetrics, a proactive metrics management application, helps monitor risk exposure and insurance claims.
The party to an employee benefit plan that may collect premiums, pay claims and/or provide administrative services.
An entity which processes claims on behalf of a self-insured health plan. In Minnesota, third party administrators are licensed by the Minnesota Department of Commerce.
An organization that administers insurance for a self-insured group, but does not assume financial responsibility for paying claims. The self-insured group pays its own claims.
A company that provides administrative services to Managed Care Organization s or self-funded health plans.
A company that processes claims and administers the health benefit plans for self-funded employer groups.
(TPA). A Third party set up to administer your investments.
Company that accepts responsibility for administering some or all of an employer's benefits program.
A firm or individual entrusted with the responsibility of administering a self-insurance program. The University's 'T.P.A.' for the professional and hospital liability program is Vanderbilt Risk & Insurance Management.
A company which provides administrative services such as claims administration for employers and other associations that have group insurance policies.
A Third Party Administrator is an individual or firm who is engaged by the Plan Administrator to perform the ministerial administrative responsibilities of the plan. See also third party.
means an entity that processes health care claims and performs related business functions for a health plan.
An organization responsible for marketing and administering small group and individual health plans. This includes collecting premiums, paying claims, providing administrative services and promoting products.
An organization that performs managerial and clerical functions related to an employee benefit insurance plan by an individual or committee that is not an original party to the benefit plan.
A TPA is an independent company which provides services to the insurance company (captive) for a fee. Typical services provided include claims reporting, administration, and management; and/or underwriting and policy issuance. Typical TPA firms include claims adjusting firms and managing general underwriters (MGU) and managing general agents (MGA).
A company with whom the state has contracted to investigate and administer workers' compensation benefits for state employees.
An entity that, for fees, processes claims and administers the health benefit plans for self-funded employer groups, but that does not pay the claims.
An organization that administers and processes claims for an Insurance Carrier, Health Maintenance Organization, or Employer Group.
An independent organization that has been contracted to administer identified services. These services may include claims administration, premium collection, enrollment, and other administrative functions.
Organization with expertise and capability to administer all or a portion of the claims process.
An administrative organization other than the employee benefit plan or healthcare provider that collects premium, pays claims and/or provides administrative services.
An individual or company that processes and pays claims for self-funded dental plans. The TPA undertakes no financial risk for claims incurred. A TPA typically charges a fee for these services.
An organization that contracts to process the claims and provide other administrative services for a self funded health plan.
A firm which provides administrative services for employers and other associations having group insurance policies. The TPA in addition to being the liaison between the employer and the insurer is also involved with certifying eligibility, preparing reports required by the state and processing claims. TPA's are being used more and more with the increase in employer self-funded plans.
A person who collects premiums or contributions from or who adjusts or settles claims in connection with life, health, and accident benefits or annuities for residents of this state.
An organization that processes health care claims without bearing any insurance risk.
An organization which conducts business in a service oriented fashion and processes claims for an Insurance Carrier, Health Maintenance Organization or Employer Group.
An independent organization that provides administrative services including claims processing and underwriting for other entities, such as insurance companies or employers.
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
Third party administration is an American business term used in the field of employee benefits. It refers to a situation where the processing of claims is outsourced to another company but the risk of loss remains with the insurer or the employer.