Health Insurance Third-Party Administrator (TPA)

This subcontract for the University of Arkansas, Fayetteville (UAF) establishes a Health Insurance Third-Party Administrator (TPA) to manage operational administration for prime contractors. The selected provider will be responsible for processing health insurance claims, evaluating processing accuracy and timelines, managing member appeals, and overseeing coverage tiers and eligibility requirements. These tasks will be executed using specialized claims processing software and member portals. The contractor must maintain strict HIPAA compliance while delivering essential outputs, including processed claims, detailed eligibility reports, and resolutions for member appeals. This engagement falls under NAICS code 524210 and is focused on ensuring efficient health plan administration for personnel working on UAF projects.