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We’re 100% independent

Did you know that the majority of TPAs are owned by, or married to specific networks? Leading Edge is an independent payer advocate, which means we’re neither owned by a network nor tied to any single network.

We thrive on saving companies money.

Very few TPA’s audit their claims in-house. Instead, they employ an outside auditing firm. There are three significant problems with this that you should know:

  • Leading Edge gives you access to twice the available national and regional networks than other TPAs do. This means the deepest potential discount on charges billed to you.
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    • Leading Edge gives you access to twice the available national and regional networks than other TPAs do. This means the deepest potential discount on charges billed to you.
    • We minimize not only fixed costs but also reduce claims costs by as much as 30%. Our proprietary claims management system and mitigation protocols significantly reduce your plan expenses in a given year, which can translate into lower employee premiums the following year.
    • Our proprietary real time Double-Check Audit Engine™ automatically reviews and then re-checks every claim for incorrect charges and billing errors.
    • This ‘adjudicate and audit’ process is overseen by industry experts who know every detail of your plan as well as the nuances of the ever-changing health care laws.

We’re always on top of it, which means you will be too.

As one of the industry’s acknowledged experts in the field of Health Benefits Administration and the compliance issues that surround it, our eye is always on what’s coming next, so you’ll always be prepared for what’s ahead.
Since Leading Edge works with over twice the available networks as other TPAs, you’ll be able to select the network with the largest reach in your area. This means your employees have the greatest likelihood of keeping their existing doctors, which translates into less headaches for them as well as your plan administrators.

We keep an eye out your employees and HR department during the transition.

Switching to self-insuring is a delicate balance between cost containment and participant satisfaction. Leading Edge works hand-in-hand with your HR Department, to make the switch as simple as possible for everyone.

Since Leading Edge works with over twice the available networks as other TPAs, you’ll be able to select the network with the largest reach in your area. This means your employees have the greatest likelihood of keeping their existing doctors, which translates into less headaches for them as well as your plan administrators.

We have highly experienced underwriters on staff.

Why? We want you to be 100% confident with the choices you make whether you are moving to self-insuring or changing TPAs. The sole job of our underwriters is to help you develop the best possible risk-to-benefit ratio for your plan needs.

We’re as a strong as the large insurers.

Leading Edge Administrators has been awarded SOC-2 accreditation — the same accreditation given to the large networks.

Challenge:
Ask any TPA you’re considering if they’re SOC-2 accredited.

We have a super-friendly client interface.

Our client interface was built from the ground up with you in mind. Fully automated, it gives you simple, easy-to-navigate information on networks, vendors and payroll services providers, including online real-time financial and claims reporting.