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TPA Services

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More than a TPA. A partner in better healthcare.​

Advantek combines personalized service, in-house clinical expertise, flexible benefit administration, and intelligent cost-management strategies to help employers take greater control of their healthcare benefits while creating a better experience for their employees.

Mission Statement​

To simplify healthcare benefit administration through exceptional service, clinical expertise, and personalized solutions that deliver greater value for employers and better experiences for members.

Vision​

To redefine benefit administration by becoming the trusted partner employers rely on for smarter solutions, stronger relationships, and better healthcare outcomes.

A Reputation Built on Service

Advantek brings over 25 years of TPA experience, with staff averaging eight years of expertise. Advantek has a 97% client retention rate and  has not lost a client due to service.

Medical Tools Overview
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Clinical Expertise That Sets Advantek Apart

Advantek is one of the few TPAs offering a full-time onsite Medical Director and dedicated team of nurses.

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That clinical team supports case management, utilization management, chronic-condition management and complex cases; not simply claims administration.

Helping Control Costs Without Losing Sight of the Member

Advantek's Case Management program is specifically designed to help ensure medically necessary care is delivered in the most cost-efficient setting, while coordinating resources and developing appropriate alternatives for members with complex or ongoing healthcare needs.​

A Better Member Experience

Benefits should not be difficult to navigate. We make healthcare easier for your employees.​

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Advantek offers an onsite call center, mobile app, personalized member and employer portal, ID-card access, claim status, EOBs, accumulators and provider search tools.

Your Plan. Your Partners. One Connected Experience.

Advantek integrates its platform with vendor partners to create a more connected experience for members. It also offers the ability to partner and integrate with a vendor of the client's choice, providing employers with greater flexibility.​​

Proactive Management of Chronic and High-Cost Conditions

Advantek's Disease and Condition Management Program targets diabetes, hypertension, hyperlipidemia and pregnancy, using nursing support, health coaching, education and individualized health goals to improve self-management and potentially reduce future complications and healthcare costs.​​

Utilization Management Focused on Quality AND Cost

Advantek's Utilization Management program evaluates both the cost and quality of healthcare services, including medical necessity, appropriate levels of care, hospital stays, over-utilization and under-utilization.​​

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Personalized Solutions

Advantek offers a dedicated Account Manager, banking flexibility, customizable reporting, employee education assistance, online resources and integrated care management programs.​

A Structured Transition From Day One

Advantek has a detailed 90-day implementation plan covering plan structure, eligibility, vendor connections, benefit builds, banking, enrollment, stop-loss setup, ID cards, portal demonstrations and post implementation auditing.​​

Industries Served

  • Hospital Organizations (with domestic networks)

  • Unified School Districts & Universities

  • Manufacturing

  • Tribal

  • Municipalities

  • Religious Organizations​​

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Testimonials

"Our consulting firm has been working with Advantek for more than 14 years.  Advantek has multiple key points that put them above the competition.  The first is attention to detail.  This starts with the management team and tracks all the way through customer service.  The second is their internal culture that places their client’s needs in the forefront.  We conduct claim audits every three years.  During this timeframe there has been multiple years with 100% audits.  That is rare in the administrative world."

 

-Broker

"Advantek is more than a TPA.  Advantek is a true clinical partner.  The team there understands that it is patients they are working with, not clients.  They just want them to focus on getting healthy and back to their lives.  Advantek is there every step of the way.  We are lucky to have Advantek as part of our team."

 

-Client

"Advantek has always been so quick to respond to our needs and questions. Their attention to detail provides great confidence to our Administrative team and our Broker. When we need updates to be made or issues to be resolved, I know I can get clear communication and a solution in a timely manner. Advantek has made navigating the complex waters of Healthcare easier for
our relatively small team, and provided great support to our plan members when they need it most. They have been a great help through these complicated and unprecedented times.” 

 

-Client

"Our business has been working with Advantek for many years now. We continue to be partners with them because of the level of care and customer service that they provide for our team members along with the personalized approach they have when managing our plan performance.”

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-Client

"I have found Advantek to be thorough and responsive in dealing with my clients.  I have every confidence that our self-funded client is well served and compliant.  When the client needs extra support, the Advantek team makes you feel as if yours is the only client they service!”

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-Client

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