Meet a Different Kind of TPA

Prairie States has been an industry leader in self-funded health benefits since 1989. Always innovating, always flexible, we are committed to meeting the unique needs of our customers, partnering with them to develop a cost-saving benefit plan. Then, performing our full line of administration and health management services in-house, we work to meet their specific goals – all while improving the health experience of every member.

Personalized Service

Cost Containment

Quality Care

Tailored Benefits That Fit

Self-funding offers employers the opportunity to be in control of their health plans and provide employees with the service experience they deserve.

  • Data-driven plan design
  • Unique cost containment strategies
  • Customization and flexibility
  • Protection against large claims
  • Increased member engagement
  • Dedicated customer support team

Nurses Make the Difference

The nurses of Prairie States’ Health Management team play a vital role in our claims administration process, performing all the essential tasks that the average TPA subcontracts to vendors. Nurses comprise over 30% of our staff, providing seamless care while driving superior claims management.

Unparalleled Service & Savings

99+%

Financial accuracy rate
– guaranteed

59%

Average our customers have saved off of total billed charges

97+%

First-call
resolution rate