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Benefits Consultants

Better Administration.
Bigger Opportunities.

Your clients count on your recommendations. BHPS gives benefits consultants a TPA partner that delivers on complex plan designs, provides the data you need to advise with confidence and backs you up with service your clients will notice.

Why BHPS

The TPA That Keeps Up With Every Plan You Design.

Consultants need a TPA that can keep up. Whether you're designing a custom self-funded plan, sourcing stop loss coverage or navigating a complex transition, BHPS brings the flexibility, responsiveness and expertise to help you deliver for every client.

Flexibility to Fit Any Plan Design

BHPS doesn't force your clients into templates. From custom plan designs and tiered networks to reference-based pricing arrangements, we build the administration around whatever benefit structure you specify.

Data You Can Actually Use

Through our Create® platform, you and your clients get real-time dashboards, detailed claims reporting and plan performance data that makes it easy to identify trends, benchmark costs and make smarter recommendations.

Service That Reflects Well on You

Our average answer time is 31 seconds. Our concierge member services team is trained on each client's specific plan. When your clients call, they get real answers from real experts.

Core Services

Built to Support
the Plans You Design

Custom Plan Design and Administration

We collaborate directly with benefits consultants and their clients to build benefit structures that fit specific workforce needs and budget parameters.

Claims Adjudication and Payment Integrity

With 99% financial accuracy and proactive claims oversight, BHPS catches billing errors and manages out-of-network pricing so your clients' plans perform the way you designed them to.

Stop Loss Coordination

We maintain strong relationships with stop loss carriers to help your clients secure competitive coverage and manage catastrophic claim risk, a critical piece of any self-funded strategy.

Technology and Reporting

Our Create® platform gives you and your clients visibility into plan performance, utilization trends and cost data in real time, the kind of transparency that makes your recommendations defensible.

Member Services and Concierge Support

When employees need help navigating their benefits, our team is there. High-touch support means better member experiences and fewer headaches escalated back to your clients.

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Frequently Asked Questions

Common Questions From Benefits Consultants

Can BHPS accommodate reference-based pricing and non-traditional plan designs?

Yes. BHPS supports a wide range of plan structures including reference-based pricing, tiered networks and custom cost-sharing arrangements. We don't rely on off-the-shelf templates. If you can design it, we can administer it. That flexibility is one of the core reasons consultants bring us into complex client situations where a standard TPA would fall short.

How does BHPS maintain 99% claims accuracy?

BHPS processes more than 10 million claims annually with 99% financial accuracy. Our adjudication process applies clinical checks and payment integrity oversight at critical points rather than relying solely on automation, which is how we consistently catch billing errors that other TPAS miss.

What reporting can my clients access through BHPS?

Through the Create® platform, your clients get real-time dashboards and detailed reporting on claims activity, utilization trends and cost drivers. The data is designed to be actionable—giving your clients the visibility they need to manage their plan day to day and giving you the numbers you need to support longer-term strategy conversations.

How does BHPS handle vendor and network integration?

The Create® platform is built for plug-and-play integration with external vendors, networks and point solutions. Whether your client has existing stop loss arrangements, specialty vendors or a preferred network configuration, BHPS connects without requiring expensive custom builds or operational disruption. That flexibility makes it easier to design plans around what your clients actually need.

What makes BHPS a different kind of TPA partner?

Our in-house clinical team, led by a Chief Medical Officer, provides oversight that most TPAs outsource. That means better decisions on complex and high-cost claims, faster resolutions and fewer escalations back to you or your clients. And with an average client retention of more than 10 years, the results speak for themselves.

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Let's Talk About What Your Clients Need.

Whether you're evaluating TPAs for an existing client or designing something from scratch, BHPS is ready to work alongside you.