Questions for your TPA or benefits adviser
SAMPLE educational checklist | demo-1.0.0

1. What exact amount is the percentage fee based on?
2. How is the original billed charge established and verified?
3. What is the fee rate, and which services are excluded?
4. Is there a dollar cap? What charges does it cover?
5. Are flat fees, network charges or vendor fees added separately?
6. How do fees affect the plan's total payment and patient cost sharing?
7. Can we inspect an itemized fee report and audit the calculation?
8. What alternatives exist, and how would their total cost compare?

Use the executed agreement and fee schedule to answer these questions. This checklist does not determine fiduciary compliance.