About HealthSCOPE Benefits

Key Facts at a Glance
• HealthSCOPE Benefits is a full service claims administration and health management firm providing administrative and other support services to self-funded employers. In select geographic markets, HealthSCOPE Benefits also works with strategic insurance company partners providing access to HealthSCOPE Benefits' networks.

Headquartered in Little Rock, Arkansas, HealthSCOPE Benefits administers benefits in all 50 states for over 200 companies and more than 500,000 members. HealthSCOPE Benefits’ more than 700 employees support clients in the management of greater than $1.3 billion in annual healthcare expenditures. HealthSCOPE Benefits has seven offices across the country to serve its customers. We are currently the 4th largest TPA in the United States as ranked by Business Insurance magazine based on administrative fee revenue.

Administrative Services

  • Medical, Dental, Vision Claim Administration
  • Pharmacy Benefit Management
  • COBRA / HIPAA Administration
  • Retiree Administration
    • Premium Reimbursement
    • Medicare Part D Reimbursement
    • Medicare Coordination
    • Retiree Billing Administration
    • Retiree Healthcare Savings Accounts
  • Incentive Management
  • Stop-loss / Reinsurance
  • Recovery Services
  • Flexible Spending Administration
  • HRA/HSA Administration
  • Wellness Administration
  • Taft Harley Administration

Healthcare Management Services

  • Network Development and Management  (HealthSCOPE Benefits currently manages proprietary networks and/or contracts with networks in all 50 states)
  • Benefit Design Consulting Support
  • Medical Management Services, including High Risk/Chronic Care Management
  • Identification (using predictive modeling capabilities) and management future of high cost participants through Disease Management
  • HSB DataSCOPE™ - Data Reporting and Analysis Services