TPA Services / Benefits

Third Party Administrators

DMA's Third Party Claims Administration is a technologically advanced, customized solution for our clients. By integrating proven user-centered design methodologies and highly efficient database programming, our claims management solution has

• Reduced claims processing time
• Decreased the employers' costs of claims administration
• Increased customer satisfaction

Ease of Enrollment

We provide online request for proposals (RFPs) as well as online employee enrollment.

Health Risk Assessment and Chronic Care Management

After issuing an employee health questionnaire to assess health status, we identify moderate- to high-risk individuals and provide them with the proper tools they need to get healthier. They are monitored by DMA's registered nurses who provide feedback and clinical intervention as needed. Healthy employees, less absenteeism and presenteeism result in substantial employee benefit cost savings.

Risk Stratification and Cost Mitigation

We reduce employer cost by designing health programs that fit the needs of the employee population.

Online portals

allow employers to view the detailed reports of the claims incurred and the status of each one. Changes in the population can also be made on the portals. Merchants Benefit Administration, Inc.' website allows access to detailed information by specific authorization level for members to practitioners to clients with specific HIPAA-compliant protocols.

Pre- and Post-Benefit Plan Data Evaluations

are provided by us so you can see your return on investment for our services.

True Gap

is a health insurance gap plan that allows employers to save money on their premiums while minimizing the employees' financial risk; typically at no cost to the employer and little cost to the employee.

Pharmacy benefit management

is our system that is a customer-focused retail and mail order pharmacy with an interactive member portal. We have state-of-the-art analytics and reporting capabilities.