Encyclopedia of Clinical Neuropsychology

2018 Edition
| Editors: Jeffrey S. Kreutzer, John DeLuca, Bruce Caplan

Third Party Administrator

  • Glenn S. AshkanaziEmail author
Reference work entry
DOI: https://doi.org/10.1007/978-3-319-57111-9_2076

Definition

Typically, an independent organization that provides administrative services for an insurance company, self-insured employer or may also operate as a unit of an insurance company. These services may include claims administration (processing, adjudication and negotiation of claims), managing provider networks, conducting utilization review, membership functions (e.g. verifying member eligibility), record-keeping and authorizing benefits. The risk of financial loss remains with the insurer, or employer, and not the TPA. Third Party Administrators have the expertise to manage other functions including premium collection and member enrollment.

Cross-References

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Clinical and Health PsychologyClinical and Health Psychology Clinic, College of Public Health and Health Professions, University of FloridaGainesvilleUSA