Who We Are, What We Do
Centrix Benefit Administrators, Inc. (CBA) is a third party administrator (TPA) specializing in employee benefits administration. We manage all self-funded administrative needs including:
- Enrollment & Eligibility
- Claims Administration
- Preferred Provider Organization (PPO) & Pharmacy Benefit Manager (PBM) Contracting
- Cost Containment Programs
- Reporting & Analytics
Centrix provides a cross-functional team to assist with all your healthcare needs.
One call – we have a 95 percent resolution rate in one call
Highly-rated support
Our proven approach to member support results in a 98 percent satisfaction rating
Billing support - personalized assistance with billing questions and more
Employee Benefit Plan Options
- Self-Funded Plans
- FSA Plans
- Traditional Plans
- COBRA Administration
Provider Network Access
- National PPO Network Access
- National Pharmacy Networks
- Specialty and Narrow Networks
Compliance Services
- Annual PCORI Filing
- Annual IRS 5500 Audit Assistance
- ACA Compliance & Reporting
- HIPAA Compliance
Member Engagement Tools
- Plan Education Materials for Members
- Welcome Booklets
- Customized Health and Wellness Programs
Administrative Services
- Claims Administration
- Consolidated Premium Billing
- Stop-loss Claim Filing and Management
- Enrollment/Account Management
- Large Claims Retrospective Audit Review
- In-house Document Preparation
Cost/Risk Management Services
- Care Management
- Population Health Management
- Out-of-Network Claim Negotiation
- Stop Loss Insurance Placement
- Plan Analytics, Informatics and Reporting
- Telemedicine
- On-Site Health Clinics
- Wellness Program Management
WHAT IS A THIRD PARTY ADMINISTRATOR?
A third party administrator is the delegated entity that runs your benefit plan so the employer can concentrate on running their business! We design, implement, and manage employee benefits programs. With the Plan Manager, CBA carefully selects the appropriate vendor partners (provider networks and ancillary service providers) for each plan.
We handle all of the administrative burden of running the plan. We process claims, publish plan documents, create and distribute plan ID cards, and handle customer service for plan members. We also ensure benefit plans are compliant with federal regulations. Our clients are provided with relevant benefit information and reports on plan utilization, claims, and performance to help identify cost drivers, manage costs, in order to meet the strategic goals.
What Services Does Centrix Offer?
We offer flexible and meaningful self-funded administrative services including voluntary and supplemental plans for employers that promote engagement and a culture of wellness for plan members.
- Claims Administration
- Medical, Dental, Vision
- Flexible Spending Accounts (FSAs)
- Healthcare Savings Accounts (HSAs)
- Healthcare Reimbursement Accounts (HRAs)
- Short-term disability
- COBRA
- Pharmacy Benefit Management (PBM) and Drug Card Programs
- Consumer Directed Health Plans (CDHP)
- Reference Based Pricing
- Health Plan Cost Analytics
- Telemedicine