---
title: Questions to ask a TPA
description: Compare TPAs with confidence using key questions about self-funded plans, healthcare cost containment, network strategy, and support.
---

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 Beyond the Rates

## Best Questions to ask a TPA during the RFP Process

When it comes to the RFP process, if a TPA doesn't do more than promise a drop in rates, they're not doing enough. A thoughtful proposal should cover four dimensions of the working relationship: Savings, Selection, Support, and Satisfaction. 

## What Should a Strong Employee Benefits Proposal Include?

#### Here are the Top 5 Questions brokers and employers should ask any potential TPA partner.

##### [Rate drops aren't enough Can you provide examples of of savings strategies your organization delivers beyond network discounts?](https://learn.novahealthcare.com/questions-to-ask-a-tpa#collapse1-dnd_area-module-6)

True TPA cost savings extend beyond network discounts and should include claims editing, direct negotiation, and medical management strategies like length-of-stay optimization and gap-in-care analysis. 

##### [True partnership approach How do you guide clients to build a customized benefit plan?](https://learn.novahealthcare.com/questions-to-ask-a-tpa#collapse2-dnd_area-module-6)

Knowing your current plan design can be duplicated is important. When making a transition, minimizing member disruption is vital. Your TPA should have the ability to provide the most appropriate benefit recommendations based on your unique population.

##### [Elevated service How do you balance call efficiency with member engagement?](https://learn.novahealthcare.com/questions-to-ask-a-tpa#collapse3-dnd_area-module-6)

While hold time, talk time, and average speed of answer stats are important, great results shouldn’t come at the expense of the member experience. A service-centric TPA should be able to strike a balance between the quality of the call and service being provided to the member.

##### [Claims Audits Do you allow a plan sponsor to engage with a third party to audit claims? Is there a fee? How many claims would that cover?](https://learn.novahealthcare.com/questions-to-ask-a-tpa#collapse4-dnd_area-module-6)

TPAs that emphasize transparency, ethical business practices, and clear financial disclosures help clients make informed decisions. They are committed to responsibly managing a plan sponsor's health plan resources. 

##### [Vendor Integration Can you connect and coordinate the various vendors, programs, and technologies that support a self-funded health plan?](https://learn.novahealthcare.com/questions-to-ask-a-tpa#collapse5-dnd_area-module-6)

Modern health plans rely on multiple vendors and point solutions to support member health, manage costs, and improve engagement. A flexible TPA should have a solid integration strategy that helps broker partners and employers align these solutions into one connected ecosystem. 

 Toot! Toot!

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#### Blog Topics

- [A Guide to Reference-Based Pricing](https://www.novahealthcare.com/resources/blog/2026/reference-based-pricing--guide-for-employers-)
- [Discover Hidden Benefits](https://www.novahealthcare.com/resources/blog/2026/the-hidden-benefits-in-your-health-plan-employees-often-miss)
- [Self-Funded Health Plan Cost Drivers](https://www.novahealthcare.com/resources/blog/2026/understand-cost-drivers-that-impact-your-self-funded-plan)
- [From Deductibles to Networks](https://www.novahealthcare.com/resources/blog/2026/help-employees-understand-their-new-benefits)

#### Podcast Episodes

- [Went in for a screening...and got a bill?](https://open.spotify.com/episode/5lToX5WS3l49dCcMsCj3ra?si=y6kuHUXMS-yxYebqE6fUUg)
- [Understanding medical bills and EOBs](https://open.spotify.com/episode/7vaIFaKmbMY4t5UzyLgRuj?si=BnBglhp1Qmagty1uKwf7xQ)
- [Deductibles, copays, & coinsurance](https://open.spotify.com/episode/1nVYfFOSwuco2PWwXhDIlx?si=OAsXpHWXRfiiZChp8N4Ryw)
- [ER expenses explained](https://open.spotify.com/episode/5hUkIgsj8QqoT400GhJFQT?si=KGa7NkJFQsOzIDysAa36ZA)