TPAs

Supporting TPAs with Claim Submissions

Submitting reimbursement claims to stop loss carriers can be time-consuming and requires attention to detail. Connexure supports TPAs in the stop loss insurance marketplace by simplifying and automating this reimbursement process using technology.

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Connexure’s Network Effect

Connexure works directly with carriers and brokers in the stop loss ecosystem through our other software solutions. With this growing network, Connexure ensures all solutions are connected and optimized for industry-focused interoperability. By connecting carriers, brokers, and TPAs through our solutions, we help better secure member data and reduce friction from continuous email communications. The more connected we are, the more we can accomplish.

More Than One Software to Implement

Connexure supports TPAs in more easily tracking and submitting claims for reimbursement from carriers through Claimpoint. Some TPAs are also brokers of record and place stop loss on behalf of their groups. In this case, BenefitConnect could be a great solution for TPAs to request and compare quotes from carriers when going to market:

Streamlining Medical Third-Party Administrator Duties

TPAs are responsible for handling a plethora of data files for every group they administer. The most complicated of those files are claims files. Connexure wishes to offer a solution where claims can be automatically loaded into a tool that communicates directly with stop loss carriers to more easily track and send requests for reimbursement. At Connexure, our goal is to eliminate manual effort for our TPAs and ensure accuracy.

It’s our mission to unify the self-funded medical ecosystem in every way we can — using integrated technologies, processes and data analytics. TPAs like yourself are encouraged to use more than one software solution developed by our professionals to ensure success. When sending claims for reimbursement, know you can count on Connexure for secure online tools that enable you to complete responsibilities in fewer steps.

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Schedule a Demo

Our clients choose Connexure because our solutions are integrated, efficient and secure. We run on cloud-based software and secure our data through SOC II audits, penetration testing, and MFA. 

Set up a demo today. We’ll deliver a comprehensive overview and show you why we are the leading option for stop loss medical insurance software in the country.

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