| OUR SERVICES |
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FHA-TPA is dedicated to providing you with the highest level of benefit administration.
We accomplish this by offering a multitude of services that can be customized to meet the unique needs of each individual
client. Our extensive industry experience allows FHA-TPA to continue to provide these services while maintaining
the highest level of quality at a cost-effective rate. These services range from any one or all of the following
including Administrative Services, Customer Service, Medical Services (including referral and claim discounting),
Patient Advocacy and Family Assistance, Claim Administration Services, Comprehensive Reporting, as well as Consulting
Services. These include:
ADMINISTRATIVE SERVICES
• Premium Billing / Eligibility Management
• Full-Service COBRA and HIPAA Administration
• Plastic ID Card Generation
• Plan Design
• Policy Distribution
• Fund Accounting Administration
• Stop-Loss or Reinsurance Placement
• Taft Hartley
CUSTOMER SERVICE
• Call Center
• Interactive Website
- Search for Participating Providers
- View Claim History
- Download Forms
- Contact FHA-TPA
- View Hours and Contributions (Taft Hartley Only)
NETWORK / MEDICAL SERVICES
• Network Access in the United States
• Second Opinions
• Pre-Certification / Utilization Review
• Case Management
CLAIM ADMINISTRATION SERVICES
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Claim Adjudication – (Domestic and International)
- Medical
- Dental
- Vision
- Disability
- Prescription Drugs
- Subrogation
- COBRA
• On-Line Repricing
• Quality Control / Internal Auditing
• Retrospective Utilization Review
• Medical Bill Review / Audit
• Clinical Editing
• Reinsurer Notifications
• Micro-Encoded Check Generation
COMPREHENSIVE REPORTING
• Standard Reports
- Eligibility / Premium Reports
- Claim Reports
- Reinsurance Reports
• Customized Reports
• Frequency and Mode of Communication set by Client
ADDITIONAL SERVICES – INTERNATIONAL CLIENTS
• Provider Referral and Network Access (U.S.A.)
• International Network Access
• Medical Evacuation / Repatriation
• Mortal Remains Repatriation
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