Markets

TPA

Third Party Administrators must have the agility to satisfy each of their customers’ specific requirements. Offering new products and tailoring offerings to meet each customers’ needs is critical. Flexibility to make changes quickly is also a key capability for TPA’s. Administering the uniqueness of each customer with optimal automation will differentiate the TPA from the competition, and help raise operating margins.

HealthEdge’s HealthRules product suite enables Third Party Administrators to tackle critical imperatives including:

  • Help customers launch new lines of business quickly in response to market opportunities
  • Meet the specific pricing needs of individual customers with a variety of plans
  • Utilize business analysts for configuration and maintenance of new employer plans, saving IT resources
  • Support even the most complex types of provider networks and contracts with maximum flexibility and reusable components
  • Reduce administrative cost by automating key business processes
  • Deliver Transparency of information for superior customer experience and improved member engagement
  • Leverage key data sources with seamless integration

TPAs succeed with the ability to meet customer requirements quickly and easily. Having the flexibility to tackle infinite variations of products and designs is crucial and only with the HealthEdge HealthRules product suite can a TPA leverage the experience and latest technology designed to support their business.

The HealthRules platform is the only modern, enterprise-class software suite for all types of health and specialty insurers. Regular software updates deliver new capabilities, ensuring continued compliance with industry standards, allowing health insurers to stay current and competitive with the latest market developments, and drastically reduce both IT and operational costs.