Reporting
Vendors
Information Flow
Cost Control
Litigation Management
Performance
In Summary

Information Flow

TPA's inherently believe they provide a valuable service. However, no TPA can truly call itself a service provider if the client is not aware of how their loss activity is progressing. If the TPA can't provide consistent and accurate data as well as provide a formal systemic reporting format to the client, the TPA won't survive client scrutiny.

As a client with skin in the game, you need to demand that your TPA provide you with

timely substantive external reports from vendors that are informative, non-duplicative and progressive . These reports serve as a proactive roadmap to resolution. Without them, you are flying blind and cannot make intelligent strategy decisions. The TPA has to adopt an open-file mentality, at least as to you, the client.

In addition, once the TPA shares this investigative material with you as the client, they need to solicit your input/feedback. They need to partner with you as to strategy and sincerely welcome your input. Lastly, when you provide your input, the TPA needs to listen and if possible, implement your ideas and suggestions. You and the TPA need to develop a shared vision of where the claim is going and between you, devise a plan for getting there in the most efficient and economical manner possible. You can't achieve this goal unless the TPA routinely provides you with a formal reporting scheme as well as accurate monthly data.