Performance

If the TPA you are considering is really worth their salt, they will consider entering into a performance guarantee contract, a contract that puts their money where their mouth is.

If they perform to previously agreed upon expectations, they will be rewarded with a financial incentive over and above their normal everyday claim fees. Be wary of a TPA that is hesitant to enter into this kind of agreement.

Try to avoid the kind of contract verbiage that permits only standard expected service. Hold the TPA to a higher standard.