Benefit Administration / Managed Care

TheraMatrix (TMX) is a licensed Third Party Administrator and is capable of performing full TPA responsibilities for our clients.

Our TPA services provide:

• Claims payment turnaround to providers averages ten days from receipt
• 99%+ claim accuracy rate
• Participation in SAS 70 II compliance audits as required by our clients
• Full capability to perform all TPA functions, including but not limited to, EDI exchanges, claims processing, eligibility, check production, EOB processing, etc.
• Ad-hoc and customized reporting and data processing capabilities

TheraMatrix Physical Therapy Network (TPTN) is an outpatient physical therapy provider network and managed care program with superior quality of care and proven reduction of health care costs that can be implemented for group health and worker’s compensation programs nationally. We have historically proven to save millions in health care dollars without limiting access to licensed professionals or medically necessary care while maintaining patient satisfaction. For more information please go to the National Provider Network (TPTN) page.