National Independent TPA with Local Market Presence
Flexible administration backed by national scale, independent partnership, and service that understands local employer and broker needs.
Differentiators
The Point C Advantage
Driving value and reducing costs for employers while enhancing the member experience
High-Touch Customer Service and Support
Responsive, hands-on support for brokers, employers, and members, with real people helping plans run smoothly day to day.
Operational Expertise That Keeps Plans Moving
Claims administration, eligibility, compliance coordination, account management, and plan operations managed with consistency and care.
Data Transparency That Supports Better Decisions
Clear reporting and plan insights that help brokers and employers understand cost drivers, track performance, and act with confidence.
Focused on Value with Low-Cost Solutions
Cost containment, clinical guidance, pharmacy insight, and consumer-directed benefit support aligned to reduce unnecessary spend and strengthen the member experience.
See what a connected plan actually looks like.
100K+
Employee lives covered
650+
Clients
40+
Years in the business
National Presence
Most traditional TPAs focus on the core mechanics of plan administration
Claims Processing- Eligibility and Enrollment
- Basic Reporting
- Provider and Member Service
That foundation matters, but for self-funded plans, administration alone does not address the factors that shapes cost, experience, and performance over time.
As plan complexity increases, brokers and employers often need more from a TPA than transaction support. The majority of health plans get members from point A to point B.
Point C is designed to go one step further to make a distinct impact and provide real value while reducing costs.
Built Different, By Design
Point C is an independent TPA with deep local market roots, helping employers across private and public sectors build strategic, self-funded benefit plans that uncover true cost drivers, not just claims data.
Expertise, All in One Place
Point C connects administrative, clinical, and operational expertise into a single model, so every decision is grounded in full context.
- In-house care management
- 30 on-staff nurses
- URAC-accredited for UM and PBM
- Reporting and analytics
- Stop loss center of excellence
Connected at Every Step
By integrating the functions that influence plan performance, Point C creates tighter coordination, earlier intervention, and more informed decisions across:
- Network and eligibility management
- End-to-end claims processing
- Utilization management
- PBM and clinical oversight
- Customer support and member experience
Smarter Cost Containment, Real Savings
Point C ‘s in-house clinician team actively manages a full range of cost containment strategies, including:
- Specialty carveout for high-cost drugs
- Site of care optimization
- High-cost claim management
- Out-of-network negotiation
- Direct provider contracting
Who We Serve
Better Plan Support Meets Real-World Value
Whether the audience is evaluating, administering, using, or supporting the plan, the benefit of a more connected model shows up in how the experience functions day to day and how the plan performs over time.
For Brokers
- Stronger differentiation in finalist conversations
- Support that goes beyond claims administration
- Better alignment between reporting and renewal strategy
For Employers
- Better visibility into what is driving plan costs
- A model that connects administration with broader plan oversight
- Support for decisions that need to hold up over time
For Members
- A plan experience that feels less fragmented
- Support that is easier to access
- Better alignment between care needs and plan resources
For Providers
- More responsive communication
- Fewer unnecessary handoffs
- Clearer administrative support
Resources
Take a closer look at how a more connected approach can strengthen plan oversight and improve the member experience. Explore our case studies, insights, and resources to see it in action.