PDA is a HIPAA-compliant and fully licensed Third Party Administrator (TPA) in all fifty (50) states. Our TPA Services provide support to clients when claim outsourcing is required.
The PDA Difference
We maintain a strong talent pool and are positioned to respond to various aspects of our client’s ever changing business needs. PDA claim consultants are highly experienced in disability risk management and we partner with each client to build a plan that best meets their needs, from implementation to management throughout the engagement. Creating and fostering partnerships with our clients is our top priority. We go beyond just a vendor/client relationship, building these lasting relationships is the foundation of our TPA business.
Key Areas of Service
- LTD claims: new, pending or ongoing
- LTD block reviews: Extended Duration, any-occupation reviews, etc.
- Life Waiver of Premium claims
- Appeals/de novo reviews
- Quality review/audit support
- Home office employee claims
- Peer review of claim decisions prior to claimant communication
What you can expect
PDA utilizes a team of experts (claim professionals, nurses, physicians, Certified Rehabilitation Consultants and accountants) to provide sound, impartial and independent reviews within a client’s standards and guidelines. All client specifications, policies and procedures are evaluated to ensure a smooth implementation and ongoing support.