TPAs
Claims, eligibility, and remittance processing for third-party administrators: multi-plan operation with per-plan provenance and no retained PHI.
The Challenge
Third-party administrators operate in a complex environment, managing claims and benefits across multiple employer groups and provider networks. Legacy connectivity solutions lack the agility and data quality controls necessary to efficiently administer these diverse plans.
A TPA also administers benefits for plans it does not own, which makes data handling a client obligation as much as a regulatory one. Multi-plan operation requires per-plan provenance, and the fewer copies of member data exist, the shorter the conversation with each client's counsel.
Custody and Coordination
Your Clients' Data, Your Custody Decision
Every plan you administer is asking who holds its members' data. An intermediary that retains nothing removes a party from that answer.
COB Is Where TPAs Get Hurt
Self-funded plan populations frequently have multiple coverages, and coordination of benefits (COB) errors surface as denials months later or recovery demands a year later. Coverage discovery and COB accuracy are the same investment.
What Post-n-Track Does for TPAs
Post-n-Track provides TPAs with a flexible, high-performance data orchestration platform. We ensure that claims, eligibility, and remittance data flow securely and accurately between all stakeholders, with real-time validation to prevent errors across every plan they administer.
TPAs simplify their administrative operations, improve the accuracy of their claims adjudication, and deliver better service to their employer clients and plan members.
Transactions and Workflows That Matter
A TPA sits on the payer side of every transaction for plans it does not own, so the same claim, eligibility and remittance flows run once per plan, each with its own rules and its own owner asking questions. These are the pages where multi-plan accuracy and per-plan accountability are decided.
837 Claims
Inbound claims validated against each plan's edits in flight, so what reaches adjudication is clean.
270/271 Eligibility & Benefits Verification
Coverage and benefit detail returned to providers in real time, before care is delivered.
835 ERA Processing
Remittance delivered in a consistent format your providers can post without manual interpretation.
Coordination of Benefits
Determine which payer pays first when a member has more than one coverage, including the separate Medicare Secondary Payer rules.
Coverage Discovery
Identify active coverage a plan has no record of, before it becomes a denial months later or a recovery demand a year later.
Tracking & Governance
End-to-end transaction lineage and audit evidence, per plan, produced as a byproduct of routing without retaining the underlying PHI.
Frequently Asked Questions
What data handling questions do TPA clients ask?
Increasingly: who holds our members' data, how many copies exist, and what happens if your vendor is breached. An intermediary that retains nothing removes a party from that answer.
Why is COB especially relevant for TPAs?
Self-funded populations frequently carry multiple coverages, and COB errors surface late, as denials months later or recovery demands a year later. Coverage discovery and COB accuracy are the same investment viewed at different points in time.
- 20 years in operation
- 2,000+ healthcare organizations served
- 2026 MedTech Breakthrough Award Best Overall Healthcare Cybersecurity Solution
- Certified and accredited HITRUST · CAQH CORE · DirectTrust · SOC 2
- 100% U.S.-based Veteran-owned (SDVOSB)
Ready to talk through your use case?
Talk to a Post-n-Track specialist about your data challenges. A direct conversation, starting with what you need.