The Challenge
The TPA, serving over 500 employer clients, faced significant limitations with its existing provider directory vendor. The platform could not handle the varied and multi-tiered network structures required by their complex plan designs. Additionally, it lacked integration with member portals and concierge services, did not support reference-based pricing or price transparency, and was not scalable enough to support newly acquired businesses and evolving plan models.
The Solution
To address these challenges, the TPA selected Perspecta to replace its legacy provider directory vendor. Perspecta developed two distinct directory solutions: a public directory for broker engagement and employer sales, and a member-specific directory with integrated price transparency tools. The solution also included seamless SSO integration with the TPA's existing member portal and embedding the directory within concierge services like Quantum and Accolade. Custom configurations supported multiple network layers, provider-level exceptions, and reference-based pricing.
The Results
With Perspecta’s solution, the TPA saw significant improvements. They achieved:
- Improved client satisfaction by meeting the unique needs of over 500 employer groups;
- Ensured regulatory compliance with TiC/NSA through accurate, plan-specific pricing estimates; and
- Enhanced user experience through seamless portal integration and concierge support.
The solution provided scalability and adaptability to support ongoing expansion and acquisitions. Additionally, the TPA now had a powerful, branded digital tool that strengthened both sales and member engagement.
