Efficiency and flexibility
to scale your business.
EbixEnterprise enables TPAs to manage multiple client configurations, plans, and workflows in one system. Administer self-funded or fully insured plans on a platform built to scale.
Managing complexity at scale
TPAs operate in a uniquely demanding environment, managing multiple client accounts, each with their own benefit structures, plan designs, and administrative requirements. Claims workflows must be scalable without sacrificing accuracy or compliance.
Disconnected systems and manual processes create bottlenecks that slow operations and increase errors. EbixEnterprise provides the multi-tenant architecture and configurability to reduce fragmentation and keep operations consistent.
Why TPAs choose EbixEnterprise
A configurable, multi-tenant platform built for the operational depth and client diversity that TPAs demand.
Configurable contract, policy & claims modules
Adapt every module to each client's plan design, benefit structure, and operational rules without custom code.
Direct integration with external systems
Connect to carrier feeds, clearinghouses, provider networks, and third-party data sources through standardized APIs.
Branded role-based portals
Deliver white-labeled digital experiences for members, employers, and providers, each with appropriate access and visibility.
Automation to reduce manual tasks
Auto-adjudication, eligibility verification, billing reconciliation, and workflow routing eliminate repetitive manual work.
Platform modules for TPAs
Policy & Premium Admin
Manage policies, eligibility, billing, and premiums across client accounts with configurable rules per contract.
Claims Admin
Efficient claims processing with configurable adjudication rules, auto-processing, and benefit structure flexibility.
Quote to Card
Streamlined enrollment from quoting through card delivery with connected workflow across all client accounts.
Experience Hub
Branded digital experience for members, employers, and providers, configurable per client with role-based access.
Data & Analytics
Operational dashboards and cross-client reporting with unified data across all accounts and benefit structures.
AI & Automation
Intelligence to improve processing speed, reduce manual work, and surface insights across client operations.
Built for TPA operations
Ready to streamline
TPA operations?
See how EbixEnterprise connects administration, claims, and servicing for third-party administrators with one connected operating model.