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In the United States, a third-party administrator (TPA) is an organization that processes insurance claims or certain aspects of employee benefit plans for a separate entity. [1] It is also a term used to define organizations within the insurance industry which administer other services such as underwriting and customer service.
In October 2022, Trustmark finalized the sale of its subsidiary, Trustmark Health Benefits, to Health Care Service Corporation (HCSC). [8] Health Benefits is a third-party administrator of health benefits that designs and offers custom plans for mid- to large-sized self-funded customers. In January 2023, Trustmark celebrated 110 years in business.
The Cigna Group is an American multinational for-profit managed healthcare and insurance company based in Bloomfield, Connecticut. [2] [3] Its insurance subsidiaries are major providers of medical, dental, disability, life and accident insurance and related products and services, the majority of which are offered through employers and other groups (e.g., governmental and non-governmental ...
Possibly the most common form is the third-party administrator (TPA). [11] The TPA is an independent firm that does not sell associated investment products. A Pension administration firm can also be a division of a larger corporation engaged in the retirement plan business, such as with Principal Financial Group .
The good news is that Express Scripts is the largest Pharmacy Benefit Manager (PBM). Cigna Corporation (NYSE:CI) has been very late to the party, and shareholders are now paying the price.
Self-funded health care, also known as Administrative Services Only (ASO), is a self insurance arrangement in the United States whereby an employer provides health or disability benefits to employees using the company's own funds. [1]
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Third-party verification (TPV) is a process of getting an independent party to confirm that the customer is actually requesting a change or ordering a new service or product. By putting the customer on the phone (usually via transfer or 3-way call) the TPV provider asks a customer for his or her identity, that he or she is an authorized ...