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Third-Party Administration (TPA)

Third-Party Administration (TPA)

Third-Party Administration (TPA), also known as business process outsourcing, is a support service for health care plans. Our TPA solutions help with all administrative, operational, and financial reporting requirements — whether you are a startup or a more established organization.

TPA Benefits

Recognized Expertise

Team up with ILS experts who have decades of experience processing claims and payments, accurately and completely.

Reduced Risk

Rely on ILS’ experience meeting regulatory requirements, including for Medicaid, Medicare, and long-term care.

Improved Efficiency &
Savings

Save time and money by working with ILS to reduce administrative costs. We offer call center and inbound services support and financial reporting and related functions.

What Our TPA Program Offers

Discover personalized TPA services that anticipate your needs and respond with innovative solutions. We offer:

  • Analytics and data warehousing
  • Benefit administration
  • Call Center and Inbound services
  • Customer service functions, including call center and inbound services
  • Claims imaging, adjudication and payment
  • Enrollment eligibility processing and reconciliation
  • Financial reporting and related functions
  • Health plan design
  • Provider contracting, credentialing and management

Our services support millions of lives across multiple health plans, including Managed Long-Term Care Plans, Medicare plans, Medicaid Managed Care plans, and commercial plans.

What Our TPA Program Offers

Discover personalized TPA services that anticipate your needs and respond with innovative solutions. We offer:

Analytics and data warehousing
Benefit administration
Call Center and Inbound services
Customer service functions, including call center and inbound services
Claims imaging, adjudication and payment
Enrollment eligibility processing and reconciliation
Financial reporting and related functions
Health plan design
Provider contracting, credentialing and management
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Our services support millions of lives across multiple health plans, including Managed Long-Term Care Plans, Medicare plans, Medicaid Managed Care plans, and commercial plans.

7.4 million

claims processed in 2023

80–90%

auto-adjudication of claims

16,000+

calls completed

>90%

first-call resolution

Contact Us

Contact us to see how ILS can help your organization.

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