TPA Back-office Services - Details





The CXC team has deep domain expertise in processing benefits claims. We cater exclusively to TPAs and can help you verify and adjudicate even the most complicated, manual HRA and FSA claims.

  • CXC's claims processing team verifies, validates, and adjudicates manual claims related to FSA and HRA plans. We work 24/7, so we process more claims with faster turnaround times.

  • We work with each TPA on a personal level, building strong relationships. We customize our services and adapt to your processes based on your specific needs.

  • Our claims processing method includes a series of quality checks to assess compliance to regulations and plan rules. We check for eligibility status, duplicate claims, funds availability, stacking protocols, and more. This in-depth process ensures high quality results and has had a proven track record of high customer satisfaction.

  • It was stressful for people on the floor because they were doing a combination of trying to focus on entering claims as well as do customer support. That was one of the difficult things...

    - Director, Flexible Compensation, Large TPA

CXC means cost savings and more time to serve your customers

CXC's bookkeeping and payroll experts offer a personalized and flexible approach to your accounting/payroll data entry and processing needs. Our experts will work within your current software systems.

  • CXC Solutions provides comprehensive accounting and bookkeeping services to help you service your clients. Our certified, trained, and dedicated full-time virtual accountants will provide real time and up-to-date financial services using your established accounting software and processes. Our low-cost, personalized accounting services with reduce operating costs and increase efficiency while maintaining high quality standards.

  • Bookkeeping services available include:
    • Manual Journal Entries
    • General Accounting
    • Financial Reconciliation
    • AP/AR
    • Daily Sales & Cash Receipts
    • Invoicing
    • Project Accounting
    • Aging Analysis
  • Payroll services available include:
    • Prepare and File New Hire Reporting
    • Prepare and File Federal/State Payroll Taxes
    • Prepare Employee Earnings Statements and Administer Payment
    • Create Custom Payroll Data Reports
    • Calculation of Federal/State Taxes
    • Preparation of Federal/State Returns (Forms 940 & 941)
    • Direct Deposit of Taxes to Federal/State Agencies

  • Because of the relationship that we have made and created with the team there, we felt the confidence that we could move some of the more complex processes like QuickBooks, TPC, and Payroll...

    - Administration Services Manager, large TPA

CXC adds value to your team and increases your efficiency

Our team of highly skilled developers is engaged during all stages of your software development life cycle. We help companies develop new products, leading the design, testing, implementation, and maintenance across various technology platforms.

  • The developers at CXC are highly experienced in the waterfall and agile methodologies of software development. As part of our commitment to customer service and personalized service, CXC participates in all phases of the software development cycle. We will lead you through: project planning, feasibility studies, system analysis, requirements definition, system design, implementation, integration and testing (both manual and automation), acceptance, and installation and deployment. In addition, CXC will ensure continued support and maintenance of the newly developed application.

  • Our technology strengths include:
  • Technical Domain
    Web Development
    Mobile Platforms
    Operating Systems
    Microsoft Technologies
    Java Technologies
    Legacy
    RDBMS
    Configuration Management Tools
    Job Scheduler
    Development Tools

  • With CXC you could just hand over a project and they could just figure it out. That is not something you can normally do with a consultant.

    - President, large TPA

CXC tailors our services to meet your needs.

CXC's team of COBRA process experts will process insurance premium information and qualified beneficiary applications to ensure COBRA compliance for all your clients.

  • CXC works with TPAs to ensure COBRA compliance for their clients by processing insurance premium information and qualified beneficiary applications.

  • COBRA administration is a complex process with constantly changing rules and regulations. Employers or the TPA must have documentation of all COBRA notifications sent to and received from qualified beneficiaries, as well as, all premium payments paid from the beneficiary to the insurer. If proper documentation is not kept, both the plan administrator and the employers are subject to tax penalties for not complying with the COBRA rules and regulations.

  • CXC aids the TPA with manual tasks such as data entry, printing and mailing qualifying event notification letters, COBRA election letters and HIPAA letters. By removing the manual work, CXC allows you to focus on other value-added compliance tasks.

  • Having the [CXC] team in place helps us handle the workloads, negates turn-over that we were experiencing with part-time staff

    - Administration Services Manager, large TPA

COBRA verification is complicated. We can help.

CXC offers debit card enrollment services. We help TPAs with the processing of benefit card applications, manual data entries and adjudication of benefit card claims. We also manage additions, changes, and terminations in the TPA system.

  • As more employers have started moving towards pre-tax spending programs such as FSAs and HRAs, debit cards have become a popular method of helping employees offset out-of-pocket healthcare expenses. However, the IRS mandates that all debit card transactions must be substantiated and verified. This is because all purchases with FSA or HSA debit cards must adhere to the guidelines and regulations set for pre-tax healthcare spending. Some of these transactions can be substantiated electronically, but many will require participants to submit a paper claim and follow-up with documentation to support their purchases. While these debit cards are extremely convenient for plan participants, they often pose significant transaction substantiation challenges for plan administrators.

  • CXC can process debit card applications in addition to substantiating debit card claims. This saves you time and employees the headaches of complying with regulatory mandates.

  • [the team] feel like a little bit of an extension of us.

    - Director, Flexible Compensation, large TPA

CXC saves you better manage regulatory agency compliance

CXC provides the following application maintenance services:Corrective/Adaptive/Preventative Maintenance, Testing, and Production Activities.

  • Our application maintenance team focuses solely on TPA systems support. Our deep domain expertise and commitment to personalized services means CXC offers you industry-leading quick response times, high quality maintenance services, and an elevated level of customer support.

  • CXC can provide you with the following application maintenance services:


  • It is nice that [CXC is] in the benefits world and understands where we are coming from.

    - President, large TPA

Get comprehensive development, system testing and support services.

About CXC Solutions, LLC

CXC Solutions (CXC) provides innovative solutions to benefits administrators in the areas of compliance, healthcare payments, electronic claims processing and back-office services. These solutions are tailored to help benefits administrators reduce operating costs and generate additional revenues while improving process efficiency and enhancing customer satisfaction.

Our Healthcare Solutions

Contact Us

CXC Solutions, LLC
14200 Midway Road, Suite 106
Dallas, TX 75244
P: 972.241.0010
Email: Sales/Support

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