Services

TPA Adjudication Services

Third Party administrators are a key part of the US economy and have pivotal roles in Commercial health Insurance, Commercial liability insurance and in Investment company Operations (401K etc.)

Netmark specializes in Health plan and TPA adjudication and processes several million claims each year with 99%+ accuracy levels. We help TPA’s offload the burden of maintaining a huge adjudication team. It is very challenging to predict the cadence of the flow of claims in any business, Netmark helps TPAs not get overwhelmed or underwhelmed with high volumes or have staff waiting on claims to be presented. With over 10 years+ experience in claims processing we provide a very flexible work staff experienced in most of the top tier TPA adjudicating systems like Javelina, VBA, Plexis, WEX etc.

Netmark specializes in Health Plan and TPA adjudication and processes several million claims each year with 99%+ accuracy. Netmark helps TPAs overcome the challenges associated with the ebbs and flows of claim volumes by providing on-demand adjudicators/examiners to tackle the increases in volumes. With over 10 years’ experience in claims processing, we provide highly experienced, flexible staff with knowledge in the most common TPA adjudication systems like VBA, WLT, Plexis, WEX, Datagenix, etc.

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Netmark specializes in Health Plan and TPA adjudication and processes several million claims each year with 99%+ accuracy. Netmark helps TPAs overcome the challenges associated with the ebbs and flows of claim volumes by providing on-demand adjudicators/examiners to tackle the increases in volumes. With over 10 years’ experience in claims processing, we provide highly experienced, flexible staff with knowledge in the most common TPA adjudication systems like VBA, WLT, Plexis, WEX, Datagenix, etc.

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Frequently Asked Questions

We can provide pricing on a per claim basis, per hour or per FTE basis. Netmark can also quickly ramp up production because of its deep bench and infrastructure capabilities

Netmark is a SOC 2 Type 2 certified company and processes all claims in a HIPAA controlled environment

Netmark can ramp up as quickly as each client needs, often times in as few as two weeks. Time for gaining access and receiving workflow training varies but 2-4 weeks is a typical benchmark.