Boon-Chapman
Public factsIndependent TPA
Independent TPA since 1961 offering claims administration, medical management, care navigation, consumer accounts, and white-label operations.
Overview
Boon-Chapman is an independent third-party administrator founded in 1961. Public pages describe integrated health-plan administration, medical management, and care navigation for employer groups, brokers, insurance entities, and white-label buyers. Services listed include claims (99.56% financial accuracy per a Wolcott & Associates audit cited on the site), FSA/HSA/HRA, COBRA and HIPAA compliance, PPO and RBP, direct and virtual primary care, medical/dental/vision, PBM integration, and data analytics. The company says it serves members in all 50 states.
Why it matters It is a long-standing independent TPA that publicly sells both PPO and RBP administration plus care navigation and white-label operations.
- Target buyer
- Self-funded employers, brokers, captives/insurance entities, and organizations that need white-label administration.
- Pricing model
- Not published; custom TPA quote
- Accuracy percentage is an audit result, not a fee. No PEPM on boonchapman.com.
- Availability
- National
- Research
- Last researched 2026-08-23
- Public facts category
Key features
- Claims administration with published audited financial-accuracy rate
- Medical management: utilization review, case management, disease management
- Care navigation including surgery scheduling, pre-op, travel concierge, and post-op
- FSA, HSA, and HRA administration
- COBRA and HIPAA compliance support
- PPO and reference-based pricing options
- White-label / insurance-entity operations
Integrations
- PBM integration (named as a capability; partners not listed)
- Direct primary care and virtual primary care (named as options)
- Flexible data exchange with business partners
Overview
Boon-Chapman provides third-party administration and related clinical operations. The homepage dates the firm to 1961 and stresses independence, technology, and customer service. Buyers called out on the site include employers, members, brokers, and parties seeking white-label solutions. Industry-association logos displayed include SPBA, SIIA, TABA, the Free Market Medical Association, HCAA, and others (membership display, not a product feature).
The services page says Boon-Chapman serves members in all 50 states and has more than 60 years in employee-benefits administration. It also supports captives, insurance entities, and other benefit solutions with operational/white-label work.
Key Capabilities
- Claims administration; site cites 99.56% financial accuracy audited by Wolcott & Associates.
- Member-engagement platform (described at a high level).
- FSA, HSA, and HRA administration.
- COBRA and HIPAA compliance support.
- PPO and RBP plan support; medical, dental, and vision.
- Medical management: utilization review, case management, disease management for conditions such as diabetes and heart disease.
- Care navigation: steerage to providers and surgical centers; surgery-date coordination; pre-op review; travel concierge when required; post-op therapy, wound care, and home health facilitation.
- Data analytics and partner data integrations.
Integrations & Ecosystem
PBM integration is named without a public PBM list. Direct primary care and virtual primary care are listed as available building blocks. Integration language emphasizes tailored data exchange, not a marketplace catalog.
Pricing
No public administrative-fee schedule.
Notes & Limitations
- Independence is current public positioning; no carrier parent is named on the pages reviewed.
- Accuracy and testimonial quotes are vendor-presented.
- Network names, stop-loss carriers, and PEPM are not published.
- “National” matches the 50-state service statement.
Sources
Tags: TPA · self-funded · independent · RBP · care navigation · white-label