Forget basic demographic models, time-consuming questionnaires, or flawed self-reported health surveys.
Instead, access a real healthcare claims data assessment for any employer group and provide better-matched plans for your clients based on their employee population’s unique healthcare claims data.
We help you tackle your client's biggest issues like rising costs, labor-intensive open enrollment, and lack of transparency in plan use.
Working with some of the country's leading brokerages, we've built claims reports designed to help you advise your small group clients.
Go beyond just the data with insightful reports that help you confidently recommend and tailor plans to the unique needs of the employer group, and secure stop-loss insurance.
We securely harvest data from the employee's EOB and claims statements including:
In less than a pay period, you can have detailed insights you need to confidently plan. Beyond that, the data can be exported to 30+ systems or downloaded directly.
We make employer onboarding easy with our proven Employer Success Kit. And once they're connected, they'll love using the product, too. We make it easy for employers to track enrollment and provide benefit utilization reports they've been asking you for.
Employees are automatically notified and prompted to enroll and provide access to sync their claims data. We're experts in driving enrollment to get you the most accurate picture possible and their data is always secure.
EOBs and data are securely housed in a HIPAA-compliant, SOC II Type 2 database. Using our proprietary data standardization methods and claims software, we start crunching the numbers the instant we have a connection.
Go beyond the data with insights designed to drive smart decision making and plan creation. Best of all, we'll provide you a specialized report for underwriting, designed in tandem with leading underwriters so they can provide stop-loss insurance.
TPA Stream is a healthcare software company headquartered in Cleveland, Ohio. Founded in 2014, TPA Stream’s web-based platform services brokers, third-party administrators, health plans, and financial institutions to streamline efficiencies across all aspects of employee benefits administration. Company solutions include Claims Harvesting, Employer Invoicing, and Claims & Enrollment integrations that connect directly with benefit administration systems, saving time, improving accuracy, and ensuring easier access to employee health benefits.
TPA Stream’s secure cloud is HIPAA-compliant, and all data is encrypted both in transit and at rest. All employees go through comprehensive background checks, and our internal processes are regularly monitored and audited. You can learn more here.
Let's set up a call to understand your needs. You can request a demo by completing the form below.
Implementation is really simple. Within a week, you'll be set up from a technical standpoint and ready to collect claims. We provide marketing resources that are proven to generate a high rate of employee enrollment including emails that you can brand, a recommended cadence, and info for your clients. Once enrollment concludes, you're all set.