Smarter Third Party Administration starts here

Today’s healthcare challenges demand a different type of Third Party Administrator (TPA), one that does more than process claims. At Personify Health, we recognize that rising costs, fragmented care, and disengaged members demand a smarter, more connected approach. That’s why we go beyond claims administration to proactively engage, support, and guide your members to keep them healthier and your costs lower. Our digital and people-powered personalized health platform engages and guides members toward cost-effective care decisions, helping self-funded employers build healthier, more engaged workforces and achieve measurable savings, year after year.

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How it works

The Personify Health Advantage

No other TPA offers our combination of flexibility, clinical expertise, and industry-leading engagement. With Personify Health, you get:

  • Largest independent TPA: 1,600 clients, 1.2 million members, 60+ years’ experience
  • Unrivaled flexibility: 15+ national networks, reference-based pricing, Centers of Excellence, 40+ PBM partners, 20+ preferred stop-loss carriers
  • 23% average validated savings
  • 51% member engagement rate
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“Switching to Personify Health’s reference-based pricing was one of the best decisions we’ve made. It wasn’t without challenges, but the financial impact has been undeniable—saving us millions and adding real value to our enterprise. More importantly, we’ve gained transparency, control, and the ability to reinvest in our people. It’s a solution that not only works, but empowers us to think differently about healthcare.”

Third Party and Flexible Benefits Administration

Medical, dental, and vision claims management; full-service HSA, HRA, FSA, DCA, and Commuter account administration
Employees calculate savings from corporate wellness plan.
23%
lower allowed medical costs

Care Management

Personalized multi-channel outreach and support; early clinical intervention and personalized support from in-house care teams
27%
lower outpatient costs

Cost Containment

Delivering measurable savings by proactively identifying, preventing, and recovering unnecessary healthcare spend
14%
savings for high-cost claimants

Data analytics and reporting

Real-time dashboards, predictive modeling, ROI tracking, actionable insights

Wellbeing

Engagement across all dimensions of health to foster prevention and meaningful behavior change
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What sets us apart

Our differentiators
The value for your organization
Scalable, personalized strategies
Solutions tailored to each client’s unique needs and goals
Total flexibility
No one-size-fits-all. Choose your networks, PBMs, stop-loss partners, and point solutions
Custom tiered networks
Steerage to high-value providers for cost savings and quality care
In-house clinical expertise
300+ clinicians, 500+ wellbeing & clinical specialists, and a 3,000:1 member-to-nurse ratio delivering personalized care that improves outcomes
Proactive member engagement
Early clinical interventions, wellbeing programs, and predictive analytics to support members before claims arise
One connected member experience
One app for all health needs; seamless transitions from wellbeing to care management
Prevention at the core
Healthy behaviors and meaningful change reduce avoidable claims—healthier people drive lower costs
Our network partners

More connections, better choices

Our network partners program leads the industry. We work with best-in-class partners to help manage benefits and claims more effectively. 

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Ready for a TPA that’s as unique as your organization?

Let’s talk about how Personify Health can help you simplify administration, reduce costs, and improve member outcomes.

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Explore our other solutions 

Personify’s personalized health platform offers a full stack of solutions to optimize benefits and inspire people to engage more fully with their health.

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