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
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