Empowering TPA's

Third Party Administrators (TPAs) often handle risk for a health plan based on regional or other demographic divisions. By moving the managed functions for a particular health plan close to the location of the performed care, special attention can be given for more direct care provisions and better management of patient populations.

TPAs depend on similar information as provided to manage physician groups to perform services related to health plan contracts and physician performance. CERECONS offers the breadth and depth of managed care tools to actively manage the performance of contracted plans based on a sophisticated data warehouse connected for reporting and analysis. In addition, transactional tools can be extended to direct contracted providers for processing referrals, eligibility, and claims information as related to the level of the risk-bearing entity.

Product Modules

CERECONS offers a variety of different modules that are offered as a SaaS (Software as a Service) model. These modules can be put together to make a robust end to end solution for your organization or purchased separately for more targeted needs. We are proud to offer our current "On-Demand" clients the following modules: