TPA Services and Solutions
Apex’s flexibility and expertise allows you to develop a benefit package unique to your employees’ needs. Our desire is to ensure your goals of the employee benefit model are realized.
We administer both basic medical, dental and vision plans, as well as highly complex, customized plans unique to your business needs. We can also tailor plan designs that uniquely integrate medical, pharmacy and medical management.
Solutions offered:
- Stop loss/reinsurance coverage
- COBRA administration
- Flexible Spending Account (FSA) administration
- HRA & HSA administration
- Network management
- Pharmacy benefit management
- Integrated health & wellness services, including condition management, wellness services, care management and utilization management and large care management
TPA Services:
- Accurate and timely claims administration
- Comprehensive, detailed reporting services available
- Benefit administration of medical, dental and vision plans, including consumer-directed health plans
- Online Self-Service Portal
- Knowledgeable and experienced Member Services representatives
- Access to national and regional PPO provider networks
- Efficient membership billing and eligibility verification
- Customized plan materials, including member ID cards
- Subrogation
Reporting
We are fully committed to providing the most advanced reporting tools, giving you access to the information you need to help make decisions about your health plan.
Interested in learning more? Contact our Sales Team at 800.375.6530 or info@apex-healthsolutions.com.