The technology behind your TPA may be costing more than you think

Many TPAs have accepted manual processes, workarounds, and administrative overhead as part of doing business. The reality is that modern infrastructure has changed the math.

  • Over the last decade, expectations have changed
  • Users want an experience that matches modern consumer products they use every day
  • Employers expect faster reporting and unified dashboards
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WHERE THE COSTS HIDE

AI is changing the way we build
software solutions and process information

Many TPAs are still relying on processes that require human involvement just
because they always have. Successful TPAs are getting rid of these extra costs.

01

Manual claims reviews that slow down processing times
Legacy systems require staff to manually review cases that modern platforms resolve automatically. The backlog creates delays for members and drives up your operational overhead.

02

Spreadsheet-driven workflows that cause version-control errors
Manual data entry, reconciliation overhead, and version conflicts are symptoms of infrastructure that was never designed for scale. Every error costs time and erodes client trust.

03

Lengthy plan setups and onboarding renewals
If plan setup and annual renewals still require extended back-and-forth, your team is absorbing costs that should have been automated years ago.

04

Frustrating user interfaces that cause preventable customer service calls
When members can't navigate their benefits portal, they call your support line. A confusing interface is a direct operating cost that compounds with every new member added.
TECHNOLOGY CHECKLIST

If someone built the consumer-directed benefits industry from scratch today, would they design it the same way?

It's a question more TPA leaders are beginning to ask. We've created a checklist to help leaders evaluate whether their current infrastructure is helping or creating more problems.

The checklist covers:

  • Operational efficiency
  • Claims processing
  • Implementation and onboarding
  • Reporting and administration
  • Security and compliance
  • Growth and scalability
How do you compare? Download to see.
Download the Technology Selection Checklist ↓

How does your TPA compare?

Download the Technology Selection Checklist
and see where your infrastructure stands.
Download the Technology Selection Checklist ↓