Attention Providers: Important Notification Below
Beginning February 29, 2024, Availity will serve as the exclusive vendor for WebTPA electronic data interchange transactions.
Learn More Here
WebTPA is a third-party administrator with over 30+ years of experience building custom health plans. We’ve built a forward-thinking model that prioritizes true partnership, full transparency, and lower health plan costs—all without sacrificing health plan quality.
Experience the WebTPA Difference
Our extensive experience supporting customized, client-directed strategies has resulted in an understanding of:
Meet the People Behind Our Culture that Make a Difference
Which is why you'll only see photos of real employees on our website - because we know our happy employees will treat your members as their own.
We serve clients in industries across the nation - and keep them at the focus of everything we do.
"This outsourcing partnership has provided us the flexibility to allow certain functions to be performed locally while having WebTPA's operationally focused teams handle functions such as claims processing, customer service, eligibility management and other back-office services to directly support our products."
"From the benefits’ staff perspective, response from the WebTPA team is quick, and they ask questions to be sure it's done right. Positive feedback from members on their interactions with customer service. Very pleased with our partners."
"Our progressive integration with WebTPA has resulted in the successful development of our National Network and coordinated care offerings. WebTPA's proprietary technology provides a truly flexible platform, accommodating even the most unique and complex aspects of our program."
"This was the most complicated implementation I’ve seen in my decades of working with large, self-funded employers. Not another TPA in the world could’ve pulled this off."
"My WebTPA care concierge was amazing. We communicated with each other for more than a year. I know he didn’t perform my surgery, but I owe him a lot because he never gave up."
"I am so thankful for our Member Experience Specialist as he has made our cancer journey much easier than it would have been from an insurance standpoint. His calm and patient demeanor has also been wonderful as it has kept me calm. With his help, I can focus on my husband and his treatment and not worry about insurance and medical bills."
"One of the reasons we chose WebTPA is the data; it's worlds better than anything we've ever had. We appreciate that you acknowledge it’s our data."
"Their customer service staff is very responsive and delivers timely quality work. WebTPA’s staff takes pride in their work; follows through on commitments and contributes 110% to the overall satisfaction of their customers."
Surprise Billing Protections
New federal regulations provide protections to you as the consumer against balance billing.
Publicly Available, Machine-Readable Files
In-Network Rates and Historical Out-of-Network Allowed Amounts
To meet transparency requirements effective July 1, 2022, WebTPA will assist plan sponsors in making the two machine-readable files available (in-network rates for covered services or item covered by the plan, historical billed charges from out-of-network providers and the allowable amount of such charges considered by the plan).
Important Note
These are very large JavaScript Open Notation (JSON) files (20GB to 70GB) that may take a while to download. If your system has limited capability, they may not be downloadable. Download speeds and time are dependent on your internet speed, browser and computer hardware.
Important Notice: Summary of Benefits and Coverage (SBC) notices have been issued to many of our members. Click here for a glossary of terms associated with SBCs. For information regarding a specific plan, please contact your HR / Benefits Department. For general information regarding SBC documents, visit www.healthcare.gov.