TPA Privileges: Restricted Versus Unrestricted

Illustration of two padlocks, one open and one closedEffective December 14, 2020, TPAs that file and/or respond on PIP and Medical Payment (Med Pay) cases on behalf of a member company in TRS will automatically be given restricted access. Restricted access is defined as access to cases that members specifically assign to the TPA from within TRS. There is no need to obtain new TPA Letters of Consent or designate permission/consent via email for restricted access. However, if a member company determines a TPA should have unrestricted access, a new TPA Letter of Consent with the appropriate box checked, or an email requesting access, is required.
 
To expedite requests, an email to (Membership@arbfile.org) with the following criteria is now acceptable. The below information must be included in the email:
  • TPA name and code
  • Member name and code
  • Email signature with job position (must be from senior-level individual with authority to bind organization)
  • The following verbiage is suggested: Please allow TPA (name) to file as unrestricted on behalf of (member company).
TPA Privileges Table
 
For the most recent information regarding TPA privileges, please refer to the table below.
 
Action Restricted Unrestricted
Does a TPA need to be assigned to an existing TRS case by a member company? Yes No
Can a TPA begin a new case in TRS on behalf of a member company? Yes Yes
Does a TPA need to be assigned to the TRS case to respond on behalf of a member company? Yes No
Can a TPA assigned to an E-Subro demand push a demand from E-Subro Hub to arbitration into TRS and handle the case? Yes Yes
 
If you have any questions regarding TRS privileges or access, please contact the Member Service Center at 866-977-3434 or email TRSSupport@arbfile.org.
 


Article published in: November 2020 E-Bulletin