About PrecisionHealth TPA
PrecisionHealth TPA is redefining the Third-Party Administrator model with a focus on efficiency, transparency, and operational excellence. We deliver compliant, accountable healthcare administration for self-funded employers through precise plan design, claims processing, and data-driven insights.
Health Insurance for Small Businesses
Core Administrative Services
- Medical, Dental, Vision, and Rx Claims Adjudication
- Eligibility & Enrollment Management
- Real-Time Member & Provider Portals
- Integrated EDI & HIPAA-Compliant Data Exchanges
- COBRA & HIPAA Administration
- Plan Document Development & SPD Compliance
- Stop-Loss Integration & Claims Filing Support
- Plan Performance Reporting & Dashboards
- Real-Time Claims Adjudication Rules Engine
- Pre-Adjudication & Pre-Payment Fraud Detection
- Claims Appeals & Disputes Resolution
Plan Design & Consulting
- Custom Self-Funded Plan Design Strategy
- Reference-Based Pricing (RBP) or Hybrid Model Support
- Cost-Containment Optimization Strategy
- MEWA, MEP & Association Plan Structuring
- Value-Based Plan Development (PCMH, Direct Primary Care, etc.)
- Broker-Agnostic Consulting & Underwriting Support
Network Management
- Open Access, Narrow, and Custom Network Configuration
- Direct Contracting / Provider Carve-Out Strategy
- Network Leasing & Stacked Network Coordination
- Medical & Ancillary Network Integration (PPO, EPO, etc.)
- Out-of-Network Negotiation / Wrap Networks
- Network Analytics & Disruption Modeling
Health Savings Accounts
Save money on your healthcare expenses and build a nest egg for future medical needs with our health savings accounts. Get tax benefits while taking control of your healthcare costs.
Telemedicine Services
Get quick and easy access to medical professionals through our telemedicine services. Consult with a doctor via phone or video, and get prescriptions and medical advice without leaving your home.
Wellness Programs
Promote employee wellness and prevent healthcare costs from rising with our wellness programs. Encourage healthy habits, provide health education, and offer incentives for achieving health goals.