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BenefitsLink Message Boards > Health & Welfare Plans > Health Plans in General, Including COBRA and HIPAA
jfgc
What are average fees TPA's charge for claims processing?
robkt
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.
KIP KRAUS
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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