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Third-Party Management and Administrative Services (TPA)

AmeriHealth Caritas oversees services for clients in nine markets across the country, including non-affiliated health plans.

Through our effective management models we:

  • Handle more than 8,000 member/provider calls every day in our 24/7 call center
  • Process 1.6 million claims each month with a 98 percent to 99.9 percent clean claim rating
  • Had more than 84 percent of provider claims submitted electronically in 2011
  • Have 80 percent of provider claims adjudicated automatically
  • Recovered $46.7 million in incorrect payments to providers
  • Provide a robust provider portal—with more than 9.5 million inquiries in 2011

As an established, results-driven third-party administrator, we can help your business.

For information about new business opportunities and strategic partnerships, contact:

Peter A. Jakuc
Senior Vice President and Chief Development Officer
Phone: 267-298-2490
E-mail: pjakuc@amerihealthcaritas.com

Members and providers: Get contact information for your health plan.