Third Party Administrator Companies

Healthcare third-party administrators (TPAs) provide various services such as claims management, network management, and other health plan services.
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Personify Health

Personify Health

4.0 (98)
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-

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-

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TPA online Platform 

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Personify Health’s member benefits platform and mobile app enables members to access all benefits (medical, dental, vision, point solutions) in one place. Personal Health Advocates provide live chat assistance, welcome materials are customized... Show More
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UMR

UMR

4.2 (3)
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-

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7,500,000

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When it comes to success in the third-party administration market, a legacy of proven performance and customer retention will tell you a lot about an organization’s long-term viability. UMR, a UnitedHealthcare company, is... Show More
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Crawford & Co.

Crawford & Co.

Reviews pending
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Founded

1941

Employees

8,424

Funding Summary

Not Provided

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About Crawford & Co.

Crawford & Company(R) (www.crawco.com) is the world's largest publicly listed independent provider of claims management and outsourcing solutions to carriers, brokers and corporates, with an expansive global network serving clients in more than 70 countries. The company’s shares are traded on the NYSE under the symbols CRD-A and CRD-B.

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CorVel Corporation

CorVel Corporation

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Founded

1987

Employees

0

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About CorVel Corporation

CorVel is a leader of risk and healthcare management solutions to employers, third-party administrators, insurance companies, and government agencies. We are publicly traded (NASDAQ:CRVL) and annual revenues exceeded $553 million in FY2020. Our continued customer growth is a testament to our financial stability and our significant investments in new systems and technologies allow us to continue to deliver industry-leading solutions to the marketplace. CorVel has approximately 4,000 associates who serve customers through a national branch office network covering all 50 states.
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Meritain Health

Meritain Health

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Founded

1983

Employees

1,156

Funding Summary

Not Provided

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About Meritain Health

With 40 years of excellence as a third party health care benefits administrator and a proud subsidiary of Aetna® and Fortune 4 company CVS Health®, Meritain Health® delivers customized, cost-effective and convenient solutions. We’re ready to meet all of your self-funding challenges.

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ESIS, Inc.

ESIS, Inc.

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Founded

1953

Employees

1,600

Funding Summary

Not Provided

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About ESIS, Inc.

ESIS®, Inc., a Chubb company, provides a full range of risk management services, including workers compensation, general liability, automobile liability, products liability, professional liability, and integrated absence management. In addition to claims management, ESIS also offers one of the industry’s broadest selections of pre- and post-loss services. We help our clients achieve their risk management goals through our collaborative approach, strategic claim management, outstanding execution, and ability to transform data into actionable insights.

ESIS is a wholly owned subsidiary of Chubb, the largest publicly traded property and casualty (P&C) insurer, with approximately 31,000 employees worldwide in... Show More
Helmsman Management Services

Helmsman Management Services

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Founded

2003

Employees

98

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About Helmsman Management Services

Helmsman Management Services LLC is a wholly owned subsidiary of Liberty Mutual Insurance, one of the nation’s largest property and casualty insurers. We offer the strength of a carrier and flexibility of a TPA as we manage auto, general liability and workers compensation claims to the best possible outcome.

With over $5.5 billion in losses under management, Helmsman is the TPA partner of choice for businesses with 1,000 employees or more.

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Luminare Health

Luminare Health

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Founded

1973

Employees

0

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About Luminare Health

Luminare Health is a third-party administrator that designs and administers custom health plans for self-funded employers, helping manage costs through innovative solutions, information transparency, and member-centric support. We also provide white-labeled benefits administration solutions that support the strategic growth goals of insurance carriers, brokers, health systems, and plan sponsors. Show More
Gallagher Bassett

Gallagher Bassett

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Founded

1962

Employees

5,636

Funding Summary

Not Provided

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About Gallagher Bassett

Gallagher Bassett is the world’s premier provider of risk and claims management services.

In a world where businesses and lives are more globally connected than ever, in a world where the pace of change is ever-accelerating, we stand ready to help organizations and people rise above the challenges of today. And to unlock their best possible tomorrows. The sooner, the better.

We believe that – with proper management – a world of risk becomes a world of possibilities. It becomes a world where businesses and organizations are freed to do what they do... Show More
Imagine360

Imagine360

5.0 (1)
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Founded

1968

Employees

1,400

Funding Summary

Not Provided

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About Imagine360

Imagine360 has 50+ years of combined experience. In 2020, Group and Pension Administrators (GPA) joined forces with ELAP Services, EBMS, and Imagine Health, which became sibling corporations through WaterStreet Healthcare Partners. This integration allows our organization to deliver the most experienced and first completely integrated health plan with reference-based pricing as its core.

Imagine360 delivers a fully integrated health plan with the savings of reference-based pricing built in and consistently generates 15–25% savings for 900+ self-funded employers. Imagine360 is entering its next phase of growth with a fresh infusion of capital to expand its comprehensive suite... Show More
ASR Health Benefits

ASR Health Benefits

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-

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-

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ASR, a subsidiary of Health Alliance Plan (HAP), has a 38-year history specializing in self-funded group health plan administration. Our 180+ self-funded clients value our experience and expertise and know that both contribute... Show More
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Burnham & Flower - AP

Burnham & Flower - AP

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Founded

Jan-06

Employees

6

Funding Summary

Not Provided

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About Burnham & Flower - AP

Guiding your benefits: Our administration professionals provide expert services for HRA, HSA, FSA, COBRA, Lifestyle Benefits and Parking and Transit benefit plans along with innovative resources to help your employees manage their consumer directed health care accounts. Multipurpose debit card: A single debit card is leveraged for all benefit account spending. Next Generation Member Portal and Mobile App: Powerful self-service capabilities plus education and decision support tools. Get real-time balances and transactions, submit claims, access plan details, account alerts, and much more. Employee Engagement Tools: Real-time administration platform automatically sends event-triggered alerts and notifications via text and email that keep... Show More
Davevic

Davevic

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Founded

1988

Employees

12

Funding Summary

Not Provided

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About Davevic

Davevic is your one stop shop for all administrative services that coincide with your clients benefit plans. We bring together the best technology, combined with comprehensive knowledge of the industry to get you the right solution at the right price.
From our office we ensure compliance with meticulous record keeping, and employ a friendly and familiar staff with no outsourcing or call centers. Our goal is to provide flexible solutions, spectacular customer service, and to simplify administration for all parties involved.
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First Choice Health

First Choice Health

Reviews pending
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Founded

2002

Employees

0

Funding Summary

None

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About First Choice Health

First Choice Health, headquartered in Seattle, WA, is a provider-owned healthcare organization offering employers a forward-thinking alternative to traditional health insurance. We have been serving employers of all sizes and across many industries with exceptional health benefits administration for over 35 years, providing unparalleled access to a growing number of clinically integrated networks (CIN) and a traditional PPO. Alongside our Employee Assistance Program (EAP) addressing mental health and work-life balance, our services collectively support members in every step of their healthcare journeys. Show More
HealthEZ

HealthEZ

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Founded

1982

Employees

150

Funding Summary

Not Provided

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About HealthEZ

HealthEZ was founded as Family Health Plan in 1982, establishing the first PPO in the Nation. Our company established medical management services integrated with the network in 1983 and provided an integrated service to many insurance companies, TPAs and large employers, including Northwest Airlines and the Fairview Nurses union plan.

Today we operate as HealthEZ and America’s PPO, under the umbrella of The Araz Group. We have over 150 employees on staff, primarily located in our Bloomington, MN headquarters. Our 40 years of experience operating as an independent network, managed care services company and third-party administrator... Show More
Leading Edge

Leading Edge

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Founded

2010

Employees

0

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About Leading Edge

Leading Edge was formed in April 2010 with the goal of offering a wider array of options to Plan Sponsors responsible for the efficient operation of their plans. To achieve this, we set out to become an independent payer‐advocate with the flexibility to truly act in the best interests of our clients ‐ avoiding the inherent conflicts of carrier‐owned TPAs, or ASO relationships (where the network is the TPA).

We have relationships with almost all the major national networks (Aetna, Anthem, Cigna, First Health, Multiplan, etc.) as well as regional networks. This access gives us the ability... Show More
Nova Healthcare Administrators

Nova Healthcare Administrators

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Founded

January 1982

Employees

200

Funding Summary

Not Provided

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About Nova Healthcare Administrators

Evolving for nearly 40 years, we are an innovative health care solutions company that sees the people that health plans serve and the businesses they support — and we partner with them on their path to better care.

When it comes to health care, we don’t believe one size fits all. That’s why we operate outside of the box to find solutions that others simply won’t consider for a variety of health plan needs — medical, dental, vision, COBRA, reimbursement account administration and private-labeled partnerships. We provide personal and personalized service and solutions for our clients. We... Show More
Sentro

Sentro

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Founded

April 2020

Employees

12

Funding Summary

700K

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About Sentro

Sentro is the operating system for group insurance. We believe that it should be easy for employers to look after their people.

Sentro has customers in Canada, Singapore and New Zealand. We focus on group insurance and group benefits. Insurers, brokers, TPAs and benefit providers use Sentro to efficiently manage products, group plans, billing, enrolment and employer and employee self-service. Sentro is a Microsoft Partner and is platformed on Microsoft Azure. Show More
Aetna

Aetna

4.1 (1)
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Founded

1853

Employees

0

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Not Provided

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About Aetna

Here at Aetna, a CVS Health business, we are building a healthier world by making healthcare easy, affordable and all about you.

Founded in 1853 in Hartford, CT, Aetna is one of the nation's leading diversified health care benefits companies, serving an estimated 46.7 million people with information and resources to help them make better decisions about their healthcare.

As a health care leader, we believe that our corporate responsibility starts with helping people live healthier lives. And that means using our resources to make the communities and world we live in better... Show More
Allegiance

Allegiance

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Founded

1981

Employees

0

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Not Provided

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About Allegiance

Originally founded in 1981 as Intermountain Administrators, the company's growth, expansion of services, and strategic direction led us to change our name to Allegiance Benefit Plan Management, Inc., on April 1, 2003. Changing our name was a way to put our service philosophy front and center. Our name, Allegiance, is a public statement that we are here to benefit you.

In 2008, Allegiance became a wholly-owned subsidiaries of Connecticut General Life Insurance Company (CGLIC), a subsidiary of Cigna Corporation, when CGLIC purchased Allegiance’s holding company Benefit Management Corp. Allegiance Benefit Plan Management, StarPoint, Allegiance Life & Health... Show More
Allied

Allied

Reviews pending
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Founded

1980

Employees

448

Funding Summary

Not Provided

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About Allied

Allied is a national healthcare solutions company that works with organizations who choose to take control of their healthcare. We customize employer self-insurance benefits to align with individual choice and organizational need while integrating medical management innovations and cost-control strategies. With healthcare designed for people, employers never have to choose between price and the best-fit insurance products to protect employees and their families.

Allied’s philosophy is to create a culture of health for our member organizations and their employees beyond simple, medical health. We integrate administrative services, care solutions and analytics to achieve better clinical, behavioral and... Show More
Anthem

Anthem

4.8 (1)
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Founded

November 30, 2004

Employees

10,700

Funding Summary

35.2M Series B

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About Anthem

At Anthem Blue Cross and Blue Shield we understand our health connects us to each other. What we all do impacts those around us. So Anthem is dedicated to delivering better care to our members, providing greater value to our customers and helping improve the health of our communities.

Anthem Blue Cross and Blue Shield is the trade name of: In Colorado: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Georgia: Blue Cross Blue Shield Healthcare Plan of... Show More
BCBS of Michigan

BCBS of Michigan

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Founded

Employees

0

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About BCBS of Michigan

Blue Cross Blue Shield of Michigan is a nonprofit corporation and an independent licensee of the Blue Cross and Blue Shield Association.

BCBSM's commitment to Michigan is what differentiates it from other health insurance companies doing business in the state. That mission has never changed. Nearly 70 years ago, Blue Cross Blue Shield of Michigan started with a purpose to provide people with the security of knowing they have health care when they need it.

Today, that nonprofit mission is the same and the company is accomplishing it in many ways, including: Show More
Blue Shield of California

Blue Shield of California

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Founded

1939

Employees

0

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Not Provided

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About Blue Shield of California

Blue Shield of California strives to create a healthcare system worthy of its family and friends that is sustainably affordable.

Blue Shield of California is a tax-paying, nonprofit, independent member of the Blue Shield Association with 4.7 million members, 7,800 employees, and $22.9 billion in annual revenue.

Founded in 1939 in San Francisco and now headquartered in Oakland, Blue Shield of California and its affiliates provide health, dental, vision, Medicaid and Medicare healthcare service plans in California.

Blue Shield of California complies with applicable state laws and federal... Show More
Careington International Corporation

Careington International Corporation

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Min. Group Size

5 eligible

Lives Serviced

-

Average Cost

Average Cost is Locked

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Product Features

✓

TPA online Platform 

 ✓

TPA ID Card 
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 ✓

Data collection and document management 
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Product Description

Careington is a pioneering product aggregator and dental benefits administrator with a national presence. As a nationally licensed TPA, we deliver all-inclusive enrollment, claims, policy fulfillment, billing and administration solutions to many large... Show More
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Centivo

Centivo

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Founded

2017

Employees

260

Funding Summary

51M Angel Round

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About Centivo

Centivo is a new type of health plan anchored around leading providers of value-based care. Centivo saves self-funded employers 15 percent or more compared to traditional insurance carriers and is easy to use for employers and employees. Our mission is to bring more affordable, high-quality healthcare to the millions of working Americans who struggle to pay their healthcare bills. With Centivo, employers can offer their employees affordable and predictable costs, a high-tech member experience, exceptional service, and a range of benefit options including both proprietary primary care-centered ACO models as well as traditional networks. Show More
Collective Health

Collective Health

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Founded

2013

Employees

0

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Not Provided

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About Collective Health

Collective Health was founded on the belief that the current health benefits administration industry has a serious technology problem that has prevented innovation and contributed to a massive rise in costs. We’ve rebuilt employer health benefits on an entirely new technology infrastructure, allowing us to provide a modern, tech-forward member experience, streamlined benefits administration, and an employer experience that enables our clients to be strategic with the partners and solutions they offer to their members. Our digital platforms play a crucial role in helping employers and members navigate the healthcare system.

Our platforms include:
... Show More
Contigo Health

Contigo Health

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-

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-

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Contigo Health Sync Health Plan Administration TPA is a uniquely flexible health plan administration product. We tailor employee benefits management to the unique needs of an employer-sponsored health benefits plan.

... Show More
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Florida Blue

Florida Blue

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Founded

Employees

0

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About Florida Blue

Florida Blue is a subsidiary of a not-for-profit health solutions company dedicated to serving all Floridians in the pursuit of health.

Florida Blue is an independent licensee of the Blue Cross and Blue Shield Association, serving residents and businesses in the state of Florida.
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Highmark

Highmark

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Founded

Employees

0

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Independence Blue Cross (IBX)

Independence Blue Cross (IBX)

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Founded

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0

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Professional Benefit Administrators

Professional Benefit Administrators

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Founded

1985

Employees

0

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Not Provided

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About Professional Benefit Administrators

PBA is a third-party administrator offering benefits management services to self-funded companies and Taft-Hartley Funds throughout the U.S.

We are committed to continually bringing new ideas and innovative concepts to our clients and providing our self-funded employer groups, Taft Hartley Funds, brokers and plan members the information needed to proactively manage their healthcare costs. Show More
United Healthcare (UHC)

United Healthcare (UHC)

5.0 (1)
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Founded

1977

Employees

0

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About United Healthcare (UHC)

At UnitedHealthcare we’re dedicated to helping people live healthier lives and helping to make the health system work better for everyone by simplifying the health care experience, meeting consumer health needs and sustaining trusted relationships with care providers.

These are extraordinary times in health care. The opportunities to help people live healthier have never been greater. Advanced data and technologies, breakthrough treatments and consumer choice are redefining what can be achieved.
At UnitedHealthcare, part of the UnitedHealth Group family of businesses, we are working to create a system that is connected, aligned and more affordable... Show More
XO Health

XO Health

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Min. Group Size

500 eligible

Lives Serviced

50,000

Average Cost

Average Cost is Locked

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Product Features

✓

TPA online Platform 

 ✓

TPA ID Card 
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Customer support 

 ✓

Data collection and document management 
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Product Description

Our solution includes three key components:
1. Health Plan Administration: We provide medical and pharmacy administration and supplementary services - e.g., plan setup, claims processing. We have a proprietary claims pricing... Show More
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90 Degree Benefits

90 Degree Benefits

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Founded

2017

Employees

169

Funding Summary

Not Provided

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About 90 Degree Benefits

At 90 Degree Benefits, we believe the right health plan does more than just provide benefits – it takes your business in the right direction.

Whether you’re looking to transition from being fully insured, or are interested in self-funding with a new plan administrator, 90 Degree Benefits has the experience, tools and unparalleled industry expertise to take your plan in the right direction.

With 24 offices serving 560,000 members nationwide, we deliver health plans built on uniquely crafted benefits designed specifically for the needs of our clients across the country.

It’s... Show More
Aither Health

Aither Health

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Founded

2019

Employees

0

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Not Provided

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About Aither Health

Aither Health is a healthcare solutions company offering a full suite of innovative products and services for third-party administrators and risk bearing entities such as self-funded employers, health plans and providers. We founded Aither to help disrupt this country’s disastrous healthcare market. We work to reduce health care cost trends by applying our unique service model, selecting appropriate transparent vendor partners and building collaborative health care service delivery models. We believe in putting the physicians back in charge of health care. With our help, physicians can emphasize and prioritize the intrinsic power of the relationship with a patient to improve... Show More
Alegeus

Alegeus

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-

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-

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https://spendingaccounts.anthem.com/
https://www.alight.com/solutions/health-benefits/reimbursement-accounts
https://www.naviabenefits.com/
https://www.ebcflex.com/
https://www.highmark.com/resources/spending-accounts
https://www.cigna.com/employers/savings-spending-accounts/hsa-hra
https://www.nbsbenefits.com/employers/health-welfare-benefits/
https://www.flores-associates.com/what-we-do.html#whatwedo
https://americanfidelity.com/info/fsa/
https://nuesynergy.com/ Show More
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Allina Health

Allina Health

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Founded

2017

Employees

55

Funding Summary

Not Provided

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About Allina Health

Allina Health | Aetna is health care’s easier way. As a health insurance provider, owned by Allina Health and Aetna, a CVS company, we’ve combined the power of an award-winning, local health system with a leading, national insurance company to provide an easier, more accessible and more valuable health insurance solution for Minnesotans.
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AmeriBen

AmeriBen

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Founded

1958

Employees

615

Funding Summary

Not Provided

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About AmeriBen

AmeriBen provides comprehensive services in Human Resource and Management Consulting and Third Party Medical Benefit Administration services on behalf of self-funded group health plans.

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Automated Benefit Services

Automated Benefit Services

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Founded

1997

Employees

80

Funding Summary

Not Provided

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About Automated Benefit Services

Since 1997, ABS has been helping clients affordably manage their healthcare costs through third party administration services. From simple, straightforward medical plan administration to multi-tier programs involving numerous networks and complex fee structures, we provide custom, best-in-class turnkey solutions to client groups across the US and on a limited international basis.

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