THIRD-PARTY ADMINISTRATOR SERVICE

DRIVING EFFICIENCY AND COMPLIANCE THROUGH EXPERT TPA SUPPORT SERVICES

Outsourced Operations Support Services for Healthcare Third Party Administrators (TPAs)

TaskGrid Solutions offers comprehensive, customized services to meet the unique operational needs of Third-Party Administrators (TPAs). Our solutions are built to enhance efficiency, reduce administrative costs, and strengthen service delivery. We provide support across key functions such as claims processing, enrollment assistance, and member services, enabling TPAs to focus on their core mission—managing healthcare plans and improving outcomes.

With over 20 years of industry expertise, TaskGrid Solutions combines advanced technology with a highly skilled workforce to help TPAs optimize operations, boost member satisfaction, and ensure regulatory compliance across all service areas.

TRANSFORMING TPA OPERATIONS THROUGH TAILORED SOLUTIONS

Online Enrollment Assistance

Provide members a seamless online Medicare Open enrollment experience, ensuring accuracy and compliance.

Billing Services

Ensure timely and accurate billing, improving cash flow and minimizing errors.

Social Determinants of Health Enrollment Services

Incorporate social factors to better address the needs of diverse member populations.

Automated Enrollment and Billing Integration

Leverage automation to integrate enrollment and billing systems, reducing manual intervention and enhancing efficiency to improve overall operational accuracy and timeliness.

Claim Collection Management

Streamline the collection and management of outstanding claims.

Claims Adjudication and Settlement

Ensure claims are adjudicated correctly and settled promptly, reducing backlogs.

Payment Processing

Facilitate timely and accurate payment processing for all claims.

Claim Submission and Processing

Expedite the claims submission process, ensuring compliance and efficiency.

Member Services & Inquiry Handling

Address member inquiries quickly and professionally, enhancing the member experience.

Compliance Inquiry Support

Provide regulatory and compliance support to ensure TPAs meet healthcare industry standards.

Care Coordination for TPAs

Help coordinate care between providers and members, improving health outcomes and efficiency.

Payment Posting and Reconciliation

Ensure all payments are posted correctly and reconcile accounts to maintain financial integrity.

Customer Service for Member Inquiries

Provide responsive, multilingual support through a 24/7 healthcare call center, ensuring member satisfaction.

Proactive Member Engagement and Outreach

Implement proactive communication strategies to engage members, such as wellness reminders, preventive care alerts, and personalized outreach, ensuring improved member satisfaction.