About

GBS TPA offers the following products and services:
Administration of self-funded health benefit plans, including plan setup, ongoing administration, and member services.
Claims Review, processing, and payment coordination of medical claims in accordance with plan documents and eligibility rules.
Enrollment and Eligibility Online systems supporting employee enrollment, coverage changes, terminations, and eligibility record management.
Medical Management Coordination of programs related to utilization review, chronic condition oversight, and care coordination.
Use of provider networks, pricing structures, and embedded programs intended to manage claim spending.
Reinsurance Coordination of stop loss coverage and reimbursement processing for self-funded plans.
Online Member and Employer Access: Secure portals for viewing benefit information, claims status, plan documents, and related records.