In addition, TPAs that are dedicated to improving the claimant experience generally offer a provider network. The existence of an expansive provider network is ideal since it offers so many benefits to claimants which all add up to greatly enhance their experience with their claim.
A provider network typically offers discounted rates to insurance companies which is beneficial to the company’s bottom line. It can also be helpful in retaining claimants as the insurance company can then choose to pass this savings on to claimants in lower renewal premiums. Furthermore, a TPA with a credentialed provider network translates to higher quality care for claimants.
When a TPA implements a pre-authorization process combined with granting insurance companies and their claimants access to the network, additional benefits abound. Pre-authorizing physician prescribed services ensures that your claimants no longer need to pay out of pocket, which saves them both time and money.
One final area to highlight when it comes to improving claimant experience is a customer care line. Granting claimants access to a customer care line staffed with caring, expert team members means that your claimants will know they are receiving quality care from knowledgeable people. This peace of mind is an invaluable component to improving the claimant’s journey.