third-party administrator


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third-party administrator

An entity or person performing preauthorization or processing of health care claims; determines payment for benefits under an insuring authority.
Farlex Partner Medical Dictionary © Farlex 2012

third-par·ty pay·er

(thĭrd-pahr'tē pā'ĕr)
An institution or company that provides reimbursement to health care providers for services rendered to a third party (i.e., the patient).
Synonym(s): third-party administrator.
Medical Dictionary for the Health Professions and Nursing © Farlex 2012

third-par·ty pay·er

(thĭrd-pahr'tē pā'ĕr)
An institution or company that provides reimbursement to health care providers for services rendered to a third party (i.e., the patient).
Synonym(s): third-party administrator.
Medical Dictionary for the Dental Professions © Farlex 2012
References in periodicals archive ?
Sedgwick announced Monday that it has signed an agreement to purchase York Risk Services, continuing a long-term consolidation trend among third-party administrators.
Q: Fifteen years ago, practically no one had ever heard of a third-party administrator. Now, it's a billion-dollar industry.
* When proposing on a new engagement, never simply assume very large third-party administrators have SAS no.
More recently, he criticized aspects of pharmacy benefits management companies at a congressional subcommittee hearing, saying that third-party administrators undermine patients' freedom to choose their own pharmacies.
Benefit Consulting, Inc., www.benefitconsultinginc.com Third-party administrators of flexible benefit plans.
Employers may have contracts with insurers, third-party administrators, utilization management companies, hospitals, physicians, and other providers.
Millennium claims that after it fired BKD in April as the third-party administrator for its employee benefit plan, which is composed of more than 200 employers and more than 400 employee participants, the accounting firm responded with outrageous invoices and threatened to hold hostage the plan's records, which Millennium says would cause irreparable harm to the benefit plan and its participants.
If your corporate health benefit costs are skyrocketing--and whose aren't these days?--maybe it's time to investigate self-insurance using a third-party administrator. While such an arrangement generally won't work for very small companies, it can be cost-effective for organizations with as few as 100 employees.
However, one of the executives at the third-party administrator that processes our claims says he has never processed an aggregate stop-loss claim in the 10 years his company has been in business.
31 October 2018 - Pennsylvania, US-based independent recordkeeping services provider, third-party administrator, and government savings facilitator Ascensus has entered into an agreement to acquire Vermont, US-based Pension Works, Inc, the company said.