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What are average fees TPA's charge for claims processing?

  • 3 weeks later...
Posted

Claims processing fees charged by TPA's are usually defined as per member/employee cost per month. Some TPA's range from $11 to $15 per member/employee for medical and dental claims. Then there are TPA's that charge $25 per member/employee plus ancillary fees on top of that. The employer/consumer must be able to negotiate - or else work with an experienced broker/consultant.

Posted

jfgc:

We are located in up dtate NY and use Blue Cross Blue Shield as our TPA. We pay $18.55 per person per month for medical claims processing and $1.65 for dental.

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