TPAs

Aetna administrative-services contract for self-funded large-group and public/labor medical plans, with claims administration and optional stop-loss.

Independent national TPA for unbundled self-funded plans, URAC-accredited medical management, advocacy, and Allied Digital member tools.

TPA for self-funded employer medical plans that uses Anthem technology (HealthOS, Solution Central) while operating as a separate administrator.

Independent TPA since 1961 offering claims administration, medical management, care navigation, consumer accounts, and white-label operations.

Cigna Healthcare administrative-services-only arrangement for self-funded employers that fund claims and pay Cigna to administer the plan.

National TPA (HPI) for customized self-funded plans, including level funding and reference-based pricing; acquired MedCost in 2025.

Personify Health TPA (legacy HealthComp) combining self-funded claims administration with wellbeing, navigation, and in-house clinical programs.

UnitedHealthcare-owned third-party administrator that processes claims for employer-funded group health plans.

Health-plan administrator for customized self-funded plans, including reference-based pricing and dual-network options, plus nurse-led care management and Lucent Health Rx.

HCSC-owned national TPA (formerly Trustmark Health Benefits) for self-funded employer plans, white-label back-office administration, and direct-to-employer networks.

Technology-powered TPA for self-funded employers, with in-house care management, RBP/OON repricing, MarpaiRx, and a small-group Vitality plan.

National third-party administrator (Aetna / CVS Health) for self-funded employer medical, dental, vision, pharmacy, and related benefits.

Third-party administrator in the UnitedHealthcare family that adjudicates self-funded and level-funded medical claims.

GuideWell-owned TPA that builds custom self-funded plans for employers, hospital systems, and carrier back-office outsourcing.