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TPA Solutions

TPA SolutionsAs a third party administrator, EHIM specializes in Special Medical Reimbursement Programs in which clients purchase a high deductible health plan and partner with EHIM to provide reimbursement services for deductibles, coinsurance, office copayments or other out-of-pocket costs, and enhanced programs/services. This type of program provides employer groups with:

  • Customized and flexible plan designs
  • Reduced healthcare costs
  • Transparent and convenient cost reporting

The EHIM technology provides the ability to receive an electronic data transfer from the primary carrier, which allows efficient administration of the plan, a thorough claim review as it is being processed and coordinated payments direct to the provider. Our robust adjudication system allows customization to meet client objectives. These TPA services also allow our customers’ businesses to reduce their overall healthcare costs while continuing to provide valuable benefits. Our hands on customer service approach and detailed reporting create an open channel of communication and accountability of the program’s performance.

In addition to the Special Medical Reimbursement Program, our Third Party Administration Department also offers valuable products such as self-funded dental programs, FSA/COBRA administration services, debit card, vision and hearing.

For further information, please contact us at 248-948-9900 or 800-311-3446.

Learn how we provide our clients with the EHIM Experience.