HealthComp / Personify Health

Overview

Personify Health markets a Third Party Administration product for self-funded employers on personifyhealth.com. Industry coverage and the company’s own history treat this TPA line as the successor to HealthComp (and related acquisitions, including Gilsbar’s former TPA/MedCom divisions). The public TPA page does not use “HealthComp” as the product name; it sells Personify Health TPA.

The vendor describes itself as the largest independent TPA and the only one combining flexibility, clinical expertise, and engagement at this scale. Stated scale: 1,600 clients, 1.2 million members, 60+ years’ expertise, 15+ national networks, reference-based pricing, Centers of Excellence, 40+ PBM partners, and 20+ preferred stop-loss carriers. Outcome figures on the same page (23% average validated savings, 51% average engagement) are vendor-reported.

A separate solution-descriptions page lists Core Administration as medical/RBP claims, navigation/advocacy for Personify-administered plans, and Core Wellbeing, plus claim fiduciary, processing, billing, analytics, member communications, chat and phone support, and Personal Health Advocates (including RBP-specific advocates).

Key Capabilities

• Medical, dental, and vision claims, including RBP administration.
• Designated client-success team and claim-fiduciary role.
• Member services: chat, toll-free support, advocates; RBP concierge for RBP clients.
• Payment integrity: automated and manual audits; vendor says 100% of claims are checked multiple times.
• Care management with in-house clinicians (vendor: 300+ clinicians; 500+ wellbeing and clinical specialists; 3,000:1 member-to-nurse ratio).
• Consumer accounts: HSA, HRA, FSA, DCA, commuter.
• Stop-loss and pharmacy coordination (partnered, not a published exclusive carrier list).
• Run-in claims administration when the prior TPA’s network is also available to Personify.
• Regulatory: machine-readable files for out-of-network, cost-estimation tool, WHCRA notices, W-2 data, Form 5500 Schedule A data, PCORI assistance, 1099 reporting.
• Wellbeing, navigation, and condition management sold on the same platform.

Integrations & Ecosystem

The TPA page emphasizes network, PBM, and stop-loss choice rather than a locked carrier stack. Counts (15+ networks, 40+ PBMs, 20+ stop-loss carriers) are published; the full partner roster is not on that page. EDI integrations are named. Wellbeing and advocacy are native Personify modules. Gilsbar’s TPA book was acquired by HealthComp; that history is relevant to South/Southeast accounts but is not a current Gilsbar TPA product.

Pricing

No public administrative-fee schedule. Quotes are custom. Published percentages (23% lower allowed costs, 27% lower outpatient costs, 14% savings for high-cost claimants) are outcome claims, not prices.

Notes & Limitations

• Buyers searching “HealthComp” will land on Personify Health branding.
• “Largest independent TPA” is a vendor claim; Allied Benefit Systems uses similar language.
• Network, PBM, and stop-loss names require an RFP or partner list, not the marketing page.
• Run-in claims are limited to overlapping network access.
• A parallel Personify Health wellness directory entry may exist; this page is the TPA line only.

Sources

• https://personifyhealth.com
• https://personifyhealth.com/what-we-do/third-party-administrator/
• https://personifyhealth.com/personify-health-tpa-solutions-descriptions/
• https://personifyhealth.com/what-we-do/cost-containment/
• https://personifyhealth.com/resources/the-smart-tpa-that-powers-self-insured-benefits-success/