Vendor Management

A critical function of a third party administrator is the seamless integration of plan service providers to make a self-funded health plan successful. MAA takes a proactive approach to managing vendor relationships to minimize issues or challenges that the consultant, broker or client experiences. We understand that every client and every plan is unique, and we work with the vendors that best suits that client's needs. Our coordination efforts include:

  • Out-of-Network Claim Negotiation
  • PPO Claim Re-pricing
  • Case Management
  • Care Management
  • Stop Loss Monitoring and Coordination
  • Benefit appeals
  • Subrogation
  • PPO Network Management
  • Rx Network Management
  • Banking and Accounting