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 on new business opportunities, strategic partnerships, or products and services, contact:
Peter A. Jakuc
Senior Vice President and Chief Development Officer