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BPO Solutions Built
for Modern TPAs

Ameridial helps Third Party Administrators (TPAs) streamline operations with HIPAA-compliant BPO and contact center support across claims, billing, enrollment, and member communication.
TAPs
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Scalable BPO and Contact Center Services
for Third Party Administrators

Ameridial provides dedicated BPO and contact center solutions for Third Party Administrators (TPAs), helping them optimize workflows, reduce administrative burden, and improve member satisfaction. Our HIPAA-compliant contact services support online enrollment, claims management, billing, and compliance inquiries. With more than 30+ years of experience in healthcare outsourcing, Ameridial delivers scalable support for TPAs, allowing them to focus on strategic growth while we manage member-facing operations securely and efficiently.

Whether you’re handling self-funded employer plans or multi-payer claims administration, Ameridial’s BPO services for TPAs are built for accuracy, responsiveness, and compliance. Our multichannel teams manage enrollment queries, claim status calls, care coordination, and payment reconciliation with precision. We act as an extension of your TPA team—ensuring every touchpoint with members, providers, or partners is handled professionally, improving operational outcomes and customer loyalty.

Service Offerings for TPA Contact Center Support

Ameridial offers specialized BPO and contact center services tailored to Third Party Administrators’ claims,
enrollment, and member support workflows.

Online-enrollment

Online Enrollment Assistance

Guide members through digital plan enrollment with live or automated support.

Billing

Billing Services

Manage premium billing inquiries and payment processing with full compliance.

Claim Collection

Claim Collection Management

Follow up on unpaid claims and coordinate timely collection resolution.

Claim Submission

Claim Submission & Processing

Assist with data entry, verification, and routing of incoming healthcare claims.

Member Support

Member Support Services

Handle benefit questions, ID card requests, and plan navigation assistance.

Compliance inquiry

Compliance Inquiry Support

Address member concerns about coverage rules and plan compliance requirements.

Care Coordination

Care Coordination for TPAs

Coordinate services between payers, providers, and members to ensure continuity.

Payment

Payment Posting & Reconciliation

Match and process payments accurately to support RCM and transparency.

AI Solutions Designed to Streamline TPA Operations

Ameridial uses AI tools to enhance performance, accuracy, and response speed in all TPA contact operations.
ai-qms

AI Quality Monitoring System

100% call monitoring to ensure compliance, agent coaching, and quality control.
Conversational AI

Conversational AI (Voice-Bot)

Automates FAQs and claim status checks through natural, real-time interactions.
Accent Harmonizer

Accent Harmonizer

Improves communication clarity between agents and members from diverse backgrounds.
arya

Arya (AI Co-Pilot)

Provides agents with real-time prompts, workflow support, and compliance guidance.
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Why Choose Ameridial for TPA Support

Leading TPAs trust Ameridial’s healthcare BPO expertise to enhance performance, scale services, and reduce administrative complexity.

Why-Choose-Ameridial-for-TPA-Support
hipaa

HIPAA-Compliant Contact Center & BPO Operations

Ensure full data security and adherence to all regulatory healthcare guidelines.

Healthcare-Trained

Healthcare-Trained, U.S.-Based Agent Teams

Agents are equipped to handle sensitive healthcare inquiries with professionalism and clarity.

Scalable BPO for Program Growth

Scalable BPO for TPAs Nationwide

Adjust support levels during peak seasons or contract growth with ease.

omnichannel

Multichannel Communication for Member Satisfaction

Engage members via voice, email, SMS, or chat—securely and consistently.

AI-powered

AI-Powered Monitoring and Operational Accuracy

Leverage automation and real-time analytics for improved claim and inquiry accuracy.

Real-Time

Real-Time Dashboards and Custom Reporting

Access on-demand performance metrics and insights tailored to your TPA environment.
PCI Certified

PCI DSS 4.0.1

bsi-27001

ISO 27001:2022

HIPPA

HIPAA Compliant

AICIPA SOC 2

SOC 2 Type II

MBE-Certification

MBE

Get in Touch Today

Looking to scale TPA operations efficiently? Connect with Ameridial for HIPAA-compliant,
secure, and patient-first healthcare BPO solutions.

    Frequently Asked Questions (FAQs)

    Explore common questions TPAs ask when considering Ameridial’s contact center and healthcare BPO support services.
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    Ameridial offers TPA support for enrollment, claims, member services, billing, care coordination, and compliance inquiries—enhancing efficiency and member satisfaction through healthcare BPO solutions.

    Yes. Ameridial strictly follows HIPAA guidelines. All systems, staff, and workflows are designed to protect health information and ensure regulatory compliance.

    Absolutely. Our teams are trained to work across multiple plan types, benefit structures, and payer platforms for flexibility and consistency.

    AI tools provide real-time call monitoring, virtual agent coaching, FAQ automation, and performance analytics to improve accuracy and reduce response time.

    We combine 30+ years of healthcare BPO expertise with multichannel communication, U.S.-based support, AI-driven tools, and customizable reporting—tailored for the TPA industry.

    Healthcare Insights

    Discover healthcare insights worth reading—designed to inform, inspire,
    & transform how you connect payers, providers, and patients.