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Third Party Administration

Cynergy Care offers third party administration and outsourcing solutions for niche and complex benefit programs including inpatient and outpatient medical, dental, vision and other ancillary care services. We use a state-of-the-art web-based system that provides real time verification and auto adjudication of benefits.  Cynergy Care’s TPA service can accommodate both in and out-of-network claims, and direct reimbursement benefit payment (cashless) methodologies.Many clients select Cynergy Care for TPA services because:

• Cynergy Care is not just a TPA, we are a true business partner that is concerned about the attractiveness and cost performance of the products offered by our clients.
• Our web-based technology and use of smart phones leverages efficiency, accessibility and connectivity between the member, provider network, Cynergy Care and business partner.
• We use proactive utilization management to validate medical necessity, control costs and ensure that member receive the most appropriate care.
• Cynergy Care’s strong collaboration with its provider network aligns the goals and objectives between all key stakeholders. 
• We maintain advanced service level standards which lead to high member satisfaction for our client’s members.
• Cynergy Care’s integrated model of utilization management, customer care and claims management is outcomes based.

Please contact Cynergy Care for more information about Third Party Administration Services