Third-Party Administrator (TPA)
A company that administers a self-funded employer health plan but does NOT bear the claim risk.
A TPA (or ASO — Administrative Services Only — division of an insurance carrier) administers a self-funded employer health plan: processes claims, manages the provider network, handles customer service. The employer (plan sponsor) bears the financial risk of paying claims. TPAs are common in ERISA-governed plans. Major TPA brands include UMR (UnitedHealthcare's TPA), Aetna ASO, Cigna's GreatWest, BCBS administrative services.
Frequently asked questions
What is third-party administrator (tpa)?
A TPA (or ASO — Administrative Services Only — division of an insurance carrier) administers a self-funded employer health plan: processes claims, manages the provider network, handles customer service. The employer (plan sponsor) bears the financial risk of paying claims. TPAs are common in ERISA-governed plans. Major TPA brands include UMR (UnitedHealthcare's TPA), Aetna ASO, Cigna's GreatWest, BCBS administrative services.
Contact: hello@denialhelp.com