Coastal TPA, Inc. is pleased to provide a self service online tool, which is HIPAA compliant for patient privacy, and provides you with free online access to your benefit information. Take a minute and review the exciting online services available to you.
Member/Provider Log-in:
System features allow members to:
View paid claim information
Check eligibility status
Retrieve the summary plan description
Access to online customer service
Solutions
Third Party Administration
Provided through Coastal TPA, Inc, Third Party Administration includes medical, dental and vision claims adjudication, eligibility management, preparation of identification cards, coordinating the purchase of stop-loss insurance, and detailed claims and financial reports. In addition, Coastal TPA offers access to preferred vendors that can provide PPO network management, utilization management, pharmacy benefit management, and preparation of regulatory documents, such as the Plan Document and the Summary Plan Description. Another vital function of Coastal TPA is to provide employer groups with consultation on best-practice funding and reconciliation procedures in compliance with ERISA regulations.
By contracting with Coastal, an employer group gains control of their health benefits while getting expert assistance to manage the administrative responsibilities that come with self-insuring.
With Coastal, self-insured employer groups can:
- Control plan design
- Improve cash flow
- Lower administration costs
- Select ideal vendor partners (PBM, PPO networks, stop loss) offered through Coastal
- Refer to reports and tools to impact and manage costs
Coastal's partially self-insured clients have a level of flexibility to customize their benefit plans, not otherwise available with large insurance carriers. For a complete list of available services, schedule a meeting or request a proposal today.
MACHINE READABLE FILES
A machine-readable file is defined as a digital representation of data or information in a file that can be imported or read by a computer system for further processing without human intervention, while ensuring no semantic meaning is lost. These files are in the CMS defined format (JSON) and are not meant for a member-friendly search of rates, benefits, or cost sharing.
To view Anthem's machine readable files for a specific employer group, a EIN search can be performed: Machine Readable Files (anthem.com). Upon entry of a EIN, the machine readable file links for the pricing for that employer will be displayed.
To view First Health's machine-readable files for a specific employer group, visit: Machine Readable Files (First Health)