What Is a Third-Party Administrator?
Premier Health Solutions, LLC is a Third-Party Administrator (TPA). We provide billing, administrative, and member support services for health and supplemental benefit programs.
We do not sell health insurance or health-related products to consumers or enroll members directly. We do not underwrite coverage for any of the insurance products for which we serve as a third-party administrator. We do not process or make claims determinations.
Following your enrollment, Premier Health Solutions will provide administrative support and billing management services.
What a third party administrator does
As a Third-Party Administrator, Premier Health Solutions supports benefit programs behind the scenes. Our work focuses on the administrative side of coverage, not the sale or underwriting of insurance.
Our responsibilities may include:
- Processing monthly billing and payments
- Answering billing and account questions after enrollment
- Maintaining member accounts and enrollment records
- Providing access to a secure member portal
- Coordinating with carriers, program administrators, and agencies
- Helping members locate plan documents and support resources
Once a member is enrolled, we act as the administrative point of contact for billing and account-related support.
What Premier Health Solutions does not do
To avoid confusion, it's important to be clear about what is outside our role as a TPA.
Premier Health Solutions does not:
- Employ any agents who sell insurance direct to consumers
- Set insured coverage terms or benefits
- Determine eligibility rules
- Approve, deny, or alter claims
- Make medical or coverage decisions
Those responsibilities belong to other parties involved in your plan.
Who sells coverage
Health and supplemental benefit plans and programs are sold by licensed independent insurance agents or agencies.
The independent agent or agency that enrolled you is not an employee of Premier Health Solutions; however, their contact information will be listed in your enrollment confirmation and welcome materials.
Who underwrites coverage
Premier Health Solutions does not underwrite insurance. Coverage is underwritten by the insurance carrier or program administrator associated with your plan.
The underwriting entity assumes the insurance risk and sets the terms of coverage. This information can be found in your plan documents and on your ID card.
Who decides claims
Claims are reviewed and decided by the carrier or program administrator, not Premier Health Solutions.
If you have a question about a claim, the correct contact information is printed on your ID card or included in your plan materials located on the Member Portal. Our team cannot approve, deny, or override claims decisions.
Where to find your plan details
If you're looking for information about your specific coverage, start here:
- Your Member Portal
- Your plan documents or member guide
- Your ID card
- Your welcome email or letter
If you're not sure where to find these, our Member Services team can help point you in the right direction.
Visit Member Support →Registered names and doing business as (DBA)
Premier Health Solutions, LLC is a Third-Party Administrator that provides billing, administrative, and member support services for health and supplemental benefit programs.
We're not an insurance carrier, hospital system, or insurance agency. We are not associated with any other organization that may have a similar name to Premier Health Solutions LLC.
For accurate information, refer to Premier Health Solutions, LLC and our official website.
In certain states, Premier Health Solutions operates under additional registered names. In California, Third-Party Administrator services are provided under the name PHSI Administrators, LLC. In Kentucky, Ohio, Pennsylvania, South Carolina, and Utah, the company does business under the name PremierHS, LLC.
If you're still unsure who to contact
Common questions about our role
No. We are a Third-Party Administrator. We do not sell or underwrite insurance.
No. Plans are sold by licensed independent agents or agencies.
We handle billing and payment processing for certain benefit programs after enrollment.
Claims are handled by the carrier or program administrator printed on your ID card or included in your plan materials located on the Member Portal. Our team cannot approve, deny, or override claims decisions.
We encourage you to report concerns so they can be reviewed. Visit our Consumer Protection page to learn more.
Your Member Portal, plan documents, and ID card are the best places to start.