Independent, Active Plan Management & Oversight
Previously, we covered fully insured, level funded, and self-funded to determine which path will best get your client to a high performance benefits structure. When taking clients down the level funded or self-funded path, rarely does the organization have the resources or know-how necessary to process claims—to receive, interpret, and pay medical bills. Nor does it understand the intricacies involved in creating and managing a health plan while complying with applicable laws. Thus, an ASO or TPA is required to process and pay claims with the self-insured plan sponsor’s money. Identifying and selecting the right ASO or TPA can be one of the trickiest, yet most valuable parts to the plan’s success.
