Who We Serve

Third-Party Administrators

Third-Party Administrators

Leveraging our technology platform for Third Party Administration

Third-party administrators face challenges around technology integration, operational efficiency, client/member experience, and scalability. Many of these issues stem from legacy systems’ limitations, regulatory complexity, and claims processing, all of which lead to operational inefficiencies and risk exposures.

Advantages

At Comprehensive, we leverage our technology platform for the Third Party Administration industry by driving operational efficiency, enabling more tailored products, and enhancing client experience. This allows TPAs to stay competitive by optimizing costs, improving accuracy and delivery, and most importantly, providing more personalized, digital-first products and services to both employers and plan members.

Technology helps third-party administrators (TPAs) by automating tasks, improving data accuracy, enhancing client and member experiences, streamlining compliance, and empowering customization and analytics for health and benefit plans.

Automation and Efficiency

Novus360 Advanced technology platform automates claims processing, eligibility verification, member enrollment, billing, and reporting, drastically reducing manual workloads and administrative errors. Our Integrated systems enable real-time updates, consolidate billing, and support premium collection, accelerating TPA operations and slashing turnaround times.

Data Accuracy and Analytics

Technology-driven TPAs can leverage Comprehensive’s robust data exchange and analytics platforms to provide transparent, data-driven insights on benefit utilization and costs. AI tools can further improve accuracy and streamline claims by auto-adjudication, fraud detection, and predictive modeling.

Enhanced Experience and Customization

Comprehensive’s Member portals and mobile apps enable employees and clients to access benefit details, run projections, and perform self-service functions securely and conveniently. Our Modern platforms support flexible benefit plan design, letting TPAs tailor coverage and eligibility to specific employer needs or regulatory requirements.
Comprehensive Healthcare Systems Inc.

Third Party Administrators

Third Party Administrators

Compliance and Security

Novus360 provides Automated compliance controls, digital documentation, and audit features to keep TPAs up-to-date with regulatory requirements and mitigate risks inherent in benefit plan administration. Advanced cloud security and access management features help protect sensitive member data and ensure privacy.