A TPA is an organization that manages healthcare claims processing, provider networks, and other administrative services on behalf of insurance companies or self-insured employers. They facilitate communication and transactions between insurers, policyholders, and healthcare providers.

TPAs streamline the claims process, ensuring faster claim approvals and payments. This benefits patients by reducing out-of-pocket expenses and hospitals by improving cash flow and administrative efficiency.

Yes, if your insurance policy is managed by a TPA, they will handle the processing of your claims and reimbursements. You may need to provide certain documents or information directly to the TPA to facilitate this process.