Smarter Third Party Administration starts here

Rising costs, fragmented care, and disengaged members demand a smarter, more connected approach to benefits. That’s why our Third Party Administration (TPA) services go beyond claims processing to proactively engage, support, and guide your members – driving health up and costs down.

Our personalized health platform combines comprehensive TPA services with best-in-class wellbeing, helping self-funded employers build healthier, more engaged workforces and achieve measurable savings. Digital capabilities and compassionate human expertise power a seamless benefits experience that engages and guides members to move effortlessly from daily wellbeing to health benefits to care management, supported every step of the way.

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How it works

The Personify Health Advantage

The largest independent TPA and the only one that offers a combination of flexibility, clinical expertise, and industry-leading engagement. With Personify Health, you get:

  • Breadth & depth of experience: 1,600 clients, 1.2 million members, 60+ years’ expertise
  • Unrivaled flexibility: 15+ national networks, reference-based pricing, Centers of Excellence, 40+ PBM partners, 20+ preferred stop-loss carriers
  • Proven outcomes: 23% average validated savings
  • Engaging member experience: 51% average 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.”

Flexible benefits administration

Go beyond the basics with full network and vendor flexibility; medical, dental, and vision claims management; stop loss and pharmacy; full-service HSA, HRA, FSA, DCA, and commuter account administration
Employees calculate savings from corporate wellness plan.
23%
lower allowed medical costs

Compassionate care management

In-house care teams provide early clinical intervention and personalized support, with multi-channel outreach that leads to meaningful outcomes
27%
lower outpatient costs

Cost containment that makes an impact

Our claims accuracy and payment integrity programs leverage both AI-powered and human reviews, delivering measurable savings by proactively identifying, preventing, and recovering unnecessary healthcare spend
14%
savings for high-cost claimants

Insights for data-driven decision making

Real-time dashboards, predictive modeling, and ROI tracking provides the actionable insights you need to make the right decisions for your population and your organization

Integrated wellbeing to address the everyday

Our blend of clinical expertise, evidence-based programs, and AI-powered insights engages members and empowers them to take action before health risks become costly conditions.
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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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