Compliance

Health plan administration is challenged now more than ever. The complexities of government mandates and regulations make it important to partner with a TPA that has the insight and resources needed to stay informed.

COMPLIANCE SERVICES

• 5500 Reporting
• Plan Document Review and Preparations
• SPD Formatting and Amendments
• ERISA Attorney
• Regulatory Notifications

HIPAA SERVICES

• Initial rights communication
• Certificates of Creditable Coverage
• Document and respond to all HIPAA activities
• Track, maintain and report all activities

MACHINE READABLE FILES

The machine readable files are made available in response to the Federal Transparency in Coverage Rule and include negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. Each of the files may be as large as one Terabyte (TB) in file size, which has significant system requirements for use. Please ensure you have the required memory capacity, hardware, and software capabilities before downloading.

The machine readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data. Learn more.