If you’re looking for a TPA – give QualChoice a closer look!

Our third party administration (TPA) services are SSAE-16 (formerly SAS-70) certified. And we excel at customer satisfaction! Here are some highlights of what we do:

  • Serve clients large and small from many industries and locations
  • Combine flexible claims administration with great service
  • Work with self-insured plans from traditional indemnity to complex managed care
  • Have the experience, expertise, technology–and the people!

 

Stop-Loss Protection

Self-funded plans can be at risk from large catastrophic claims. We work with stop-loss carriers to protect you from worst-case scenarios. And with our A-rated carriers, you can be sure of timely claim reimbursement.

Our Services Include:

  • Claims administration and payment
  • Statewide provider network
  • National network available
  • Case Management
  • Utilization management
  • Reinsurance/stop-loss administration
  • Dedicated account management
  • Benefit plan consulting
  • HSA/HRA administration
  • FSA administration
  • Pharmacy services
  • QCARE health and wellness program to help members manage their health
  • Web-based services: claim inquiry, provider directory, ID cards and eligibility verification

Want to know more about group plans?

Let QualChoice take care of you and your employees or clients with our wide range of health plans and services.

Request a quote or information

Or call a Regional Sales Manager: