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Stop the Eligibility Lag.
Start Real-Time TPA Service.
Benefit Cloud bridges the gap between your clients' HR systems and your claims engine. Eliminate the delays that frustrate members and free your operations team from the "spreadsheet shuffle."
The Friction of Disconnected Systems
As a TPA, you compete on service. But when your clients' data is trapped in slow, manual processes, your service suffers through no fault of your own. You likely deal with:
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The "Pharmacy Counter" Crisis: New hires trying to fill prescriptions before their eligibility file has been manually processed, leading to angry calls from HR.
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Onboarding Bottlenecks: Taking weeks to set up a new employer group because you’re waiting on their IT team to format a file correctly.
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Reactive Firefighting: Your account managers spend more time apologizing for data delays than adding strategic value to the plan.
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Stalled Growth: You want to take on more lives, but your current manual intake process can't scale without hiring more admin staff.
The Benefit Cloud Solution: Your Intelligent Connectivity Hub
We provide the integration framework, that allows you to ingest data from any client system faster, and without forcing them to change their behavior.
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Seamless Intake: We connect directly to the employer's payroll/HRIS system to pull changes as they happen. No more waiting for Friday's file upload.
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Format Agnostic: Whether the client uses ADP, Workday, or a custom ERP, we translate their data into the exact format your claims system requires.
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Zero-Touch Processing: Standard enrollments and terminations flow straight through to your system (and downstream vendors) without human intervention.
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Proactive Alerts: We catch anomalies, like a sudden 50% drop in active lives, and alert you before the bad data overwrites your eligibility records.
Key Benefits for Your TPA
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Delight Your Clients: Provide a "real-time" experience where new hires are active in the system the day they start.
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Scale Without Headcount: Double your covered lives without doubling your data entry team.
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Speed to Revenue: Onboard new employer groups in weeks, not months, accelerating your time-to-value.
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Focus on Care: Let your team focus on managing complex claims and plan design, not fixing file formatting errors.
