Third-Party Administrator Services

Concierge Administrative Services is a full-service Third-Party Administrator providing health benefits plans that are tailored to meet your organization’s needs. Our goal is to provide high quality third-party administrative services and benefits, and to exceed our customers’ standards in service. Concierge is recognized as one of the nation’s industry leaders in third-party administration of self-funded health benefit plans for employer groups of all sizes.

Fully Customizable Plan Design

We provide fully customizable administration services for our clients, so the services available to you are more efficient and cost effective. We are fully flexible, which enables us to put our clients’ needs first. This also allows us to properly and accurately respond to any situation which may arise, and customize services designed to meet your unique needs. We pride ourselves in our deep understanding of health and benefit plan design, implementation, and options. We will work with you to develop a health and benefits plan that gives you the benefits you need with a price tag you can afford.

How can a Third-Party Administrator help me?

As your third-party administrator, we will handle your claims adjudication and processing, help you understand your benefits, minimize mistakes and fraudulent claims, provide detailed reports to help employers determine trends in claims activity, and so much more. We also provide superior customer service. We pride ourselves in quickly answering phone calls and emails. In fact, most phone calls are answered within 18 seconds. We also provide fast and accurate claims processing, with 95% of claims processed within 3.7 business days and an over 99% accuracy rate.

Full Third-Party Administrator (TPA) Services

  • Claims adjudication and processing
  • Plan Documents (PD)
  • Summary of Benefits and Coverages (SBC)
  • Explanation of Benefits (EOB)
  • Reporting
  • Self-funded Plan development & Custom plans design
  • Flexible Spending Arrangements (FSA/Flex)
  • Cost Containment Programs
  • COBRA administration
  • Minimum Essential Coverage Plans
  • Self-funded and Fully Insured
  • Reference Based Pricing
  • Stop loss placement
  • Enrollment and Eligibility management
  • Pre-certification
  • Medical Bill Negotiations

As a strategically built organization, our companies design balanced solutions to create stronger health and wellbeing for the individuals, employers and organizations we serve.

Other Services

At Concierge, in addition to more traditional third-party administrator services, we provide a variety of additional services to ensure that you’re getting the best care plan possible. Additionally, we utilize the latest technology, to make understanding and using your benefits as easy as possible. We are able to provide digital ID cards through our app, and our online portal makes it easier than ever for employers, members, and providers to view benefits and file claims.

We provide services in these areas:

  • Telemedicine
  • Online Claims Portal
  • Digital ID cards
  • Medical Bill Negotiation
  • Patient Advocacy
  • Prescription Discount and Copay Programs
  • Group Term Life
  • Vision & Dental Plans
  • Limited Medical Plans – Indemnity Plans
    • Hospitalization: In-patient & Out-patient
    • Emergency Room Visits
    • Labs & Diagnostic
    • Wellness & Doctor Reimbursements

Get in Touch!

Call 877.454.1440 or email
for more information