TriState Benefit Solutions

WHO WE ARE

TriState Benefit Solutions (TBS) has been partnering with employers, health care providers and health insurers as a licensed third party administrator since 1992, delivering quality, cost effective plan administration and customer service. TBS offers clients flexibility and control of the management of their self-funded plan whether traditional fee-for-service or full managed care arrangements are implemented. Through the Amisys Managed Care System, TBS provides our clients superior information management tools along with state-of-the-art claims processing capabilities.

TBS offers employers a strong partnership with the managed care organization, stop-loss carrier and the pharmacy benefit manager.

TBS brings a unique service to the market with its behavioral management capabilities either as a "carved out" arrangement or simply ongoing management of such claims as a support to large medical case management services. No other local Cincinnati administrator can offer behavioral management as part of its internal package of services. With the "mental health parity" legislation, this service becomes more critical as a claims management tool to both the client and stop-loss carrier.

The tangible benefits of working with TBS include:

  • More control over health care expenses
  • Tailored benefit design
  • Direct contract with providers
  • Customized financial reports
  • Better information on utilization
  • Development of population specific health care initiatives
  • Targeted wellness and prevention programs
  • Faster turn-around on eligibility processing
  • Accurate and efficient claims processing
  • Excellent provider and member services



 
TBS can manage the administrative functions and deliver information to employers and health care providers who will assist their efforts to provide quality care for their insured.