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TPA Services

HFTPA is one of the fastest-growing TPAs in the industry. We are very proud of our client retention rate servicing some of our valued clients since 1983. We have achieved this through an unyielding commitment to our clients with service and advanced leadership. We listen so that we can help you identify your needs and deliver solutions that meet those needs most effectively. It begins during the proposal process with a thorough review of your current plan, stop loss arrangements, and understanding your objectives. Then, it continues with high-quality management information and regularly scheduled account management communication when you are a client.

An Important Service...Managing Your Money As If It Were Our Own

Since our inception, we have taken our role as the manager of your benefits expenditure very seriously. This means we bring to you a comprehensive portfolio of services and a team that will manage your plan to your financial goals. Here is where we excel:

HFTPA has dedicated a team of resources to assist our clients in choosing the PPO Network(s) that provide the most effective balance of access and discounts. As your representative we cut through the facade of promised "discounts" to analyze contracts, re-price claims and check potential disruption to your employees. If appropriate, we are able to develop customized networks and have direct contracts in place.

Access Direct Platinum PPO Network serving 14 East Texas counties offers our clients in-patients discounts ranging from 70-80% off billed charges. The physician discounts range from 40-50%.

We have our own Utilization Management Company staffed with RN’s and a Medical Director that assists us in reviewing treatment plans and assessing the appropriateness of services and charges before and after a claim is submitted.

Our strategic partner, D2 Hawkeye software uses sophisticated predictive modeling and risk assessment programs to identify covered participants with the greatest potential for incurring significant claims. We then help customize their treatment and self-management plans to minimize future high-dollar claims.

Benefit Informatics Software enables the efficient planning, management and analysis of employee benefit plans through proprietary applications and services for benefit administrators. Benefit Analyzer provides analysis of health plan performance with the ability to benchmark and organize health claim data on demand while comparing diagnosis, procedure costs and utilization patterns. Benefit Planner provides benefit plan modeling technology to assist benefit administrators, employers, and brokers in developing and analyzing multiple plan scenarios while predicting the cost of plan design alternatives.

During the last five years, HFTPA has invested over $5 Million in industry-leading technology including:

Web access for clients, covered participants and providers. This site is customized to each client and can serve as the client's Intranet site.
Our highly automated and consistent benefits administration system powered by SunGard/Relius (Formerly SPBA)
Recording system for all customer service calls, incoming and outgoing, is a vital tool that allows our staff to continue our strive for excellent customer service.

We continue to add advanced technology that enables our clients to manage their Employee Benefit Plan, provide valuable assistance and statistical information to the Human Resource staff.