What Is a TPA? A Complete Guide for Self-Funded Health Plans

A third-party administrator (TPA) is the backbone of any self-funded plan. Here's how a TPA processes claims, manages eligibility, and supports employees.
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What Is a TPA? A Complete Guide for Self-Funded Health Plans

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Third-party administrators (TPAs) are a crucial component of a well-run self-funded health insurance plan. They’re the engine behind the scenes — processing claims, managing compliance, and serving your employees.

But not all TPAs are created equal. And in a group captive model, the TPA you choose can significantly impact your cost savings, employee satisfaction, and administrative burden.

In this guide, we cover the role of TPAs in self-funded healthcare, what to look for in a partner, and how Roundstone’s integrated solutions, like our own TPA, Bywater, can help you get the most value from a self-funded group captive plan.

Questions about self-funding? Ask us anything below.