Health Benefits Administration:
Third-Party Administration

Complete Third-Party Administrative Services


Mayo Clinic Health Solutions offers benefit plan design support to create customized solutions that meet the unique needs of our clients — and their employees. Our suite of benefits administration services and products includes:

  • Plan design — Experienced professionals can help clients develop a customized health benefit plan tailored to your corporate benefit strategy. Based on your needs, we can help design a traditional or high deductible health plan, incorporating an FSA, HRA or HSA.
  • Claims processing and administration — We provide comprehensive benefits administration, including medical and reimbursement account claims adjudication and payment, enrollment and eligibility, and subrogation services.
  • Provider network administration — We contract with local, regional or national provider networks to offer a comprehensive network.
  • Medical management — Our team of specialists assures quality of care and cost management through prior authorization, case management, concurrent review, discharge planning and retrospective review.
  • Pharmacy benefit services — Plan members have access to a national network of 50,000 pharmacies, all with point-of-sale electronic claims processing.
  • Reinsurance and underwriting — By working with several reinsurance carriers, we provide access to competitive levels of stop-loss coverage.
  • Customer service — Extended hours, member advocates and online claims histories that allow quick and accurate responses are just a few of the customer service benefits that plan members receive. We also offer a 24-hour automated response system that provides benefit information.
  • Quality management — Quality management staff oversee internal quality initiatives, facilitate reporting and conduct provider credentialing and site reviews to communicate and maintain our high standards of care.
  • Communications — Easy-to-understand materials are provided to help members understand their health plan benefits.