The role of third partyadministrators (TPAs) continues to expand. Today, the average TPAnot only builds and maintains relationships with brokers who relyon them to keep clients happy and manage the details, they alsohave to work closely with employers who increasingly expect highlevels of service and results for their employees. TPAs must alsowork directly with employees and navigate their expectations asthey eagerly expecting reimbursement for medical claims.
This great balancing act is ontop of their actual day-to-day workload. While TPA inefficiency mayseem systemic and endemic to the industry, its actually a two-foldproblem that includes the TPA's internal processes. One of thebiggest aspect of a TPA's workload, explanation of benefits (EOB)processing, is rife with challenges that may feel like the norm,but can and should be addressed.
Industry inefficiency leads to processinginefficiency
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