Skip to content

Administrative Services: Streamlining Claims, Empowering Your Business

Traditional claims management processes can be a labyrinth of paperwork, delays, and frustration for both employers and employees. It's time to simplify and streamline. The average cost of processing a single healthcare claim is $40, and manual processing can lead to error rates as high as 30%. (Sources: CAQH, HFMA) 
Learn More
Anchor: lets-go

Upright's Administrative Services reimagine claims management, providing a transparent, efficient, and user-friendly experience that empowers your business and supports your employees.

Third-Party Administrator (TPA)

Our dedicated TPA team acts as your trusted partner, handling all aspects of claims processing, from initial submission to final resolution. We leverage cutting-edge technology and streamlined workflows to ensure accuracy, efficiency, and timely payments.

Our services include: 

  • Eligibility Verification
  • Claims Adjudication & Payment
  • Explanation of Benefits (EOB) Generation
  • Provider Network Management
  • Customer Service & Support 

Underwriting Expertise

We meticulously assess risk and develop tailored insurance plans that meet your specific needs and budget. Our underwriting process is transparent and data-driven, ensuring you receive the most competitive rates and comprehensive coverage.

We consider factors such as industry, employee demographics, and historical claims data to create a plan that's right for you. 

Compliance & Reporting

Navigate the complexities of healthcare regulations with confidence. Our team stays abreast of the latest compliance requirements, such as ERISA, HIPAA, and ACA, ensuring your plans remain compliant and minimizing your risk of penalties.

We also provide detailed reporting and analytics, including claims utilization reports, financial summaries, and predictive modeling, to help you track claims activity, identify trends, and make informed decisions about your benefits program. 

Why choose Upright?

Target Icon-1

Proven Results

Our clients typically experience a 20-25% reduction in healthcare costs during the first year.
Accounting Icon

Data-Driven Approach

We leverage advanced analytics to identify trends, optimize programs, and deliver measurable ROI. 
Health Report Icon

Tailored Solutions

We customize our offerings to fit your business size, industry, and goals. 
Handshake Icon

Full-Service Partner

From healthcare to HR, we're your one-stop shop for employee wellbeing solutions. 
“Upright Team has been instrumental in helping us provide comprehensive health and wellness benefits to our employees. Their expertise and dedication have made a significant impact on our company culture and overall well-being.”
Marcus Irvin
Vice President, Decker-Howard
Meeting_4 Meeting_4 Meeting_4

Streamline claims management to empower your business.

Schedule a consultation today and let's build a healthier, more productive future together. 
Get In Touch