Governed execution
for high-volume benefits operations
Predictable primary care benefit fulfillment that plugs into your TPA workflows. We orchestrate providers and push reports, status, and reconciliation data back to your systems.
Built for risk-aware ops teams and compliance auditors
Why TPAs work with DxStack
We plug into your existing claim and document systems — you stay in control.
Managing multiple provider relationships directly
Single integration point for all primary care providers
Chasing providers for reports and documents
Reports delivered directly to your systems
Batch visibility means delayed action on exceptions
Real-time fulfillment updates so ops teams can act immediately
Reconciliation requires manual data gathering
Structured fulfillment and invoice data for your records
Plugs into your existing systems
You manage claims and documents. We handle provider fulfillment and push data back to you.
- TPA case management / ticketing
- Provider CRM / relationship tooling
- Insurer policy & claims systems
- Finance / settlement systems
- Receives benefit requests from your claim workflows
- Orchestrates fulfillment across provider network
- Delivers reports and documents to your systems
- Pushes status updates via webhooks
- Provides fulfillment and invoice data for reconciliation
- Exports audit-ready MIS for your reporting
How it works
Benefit requests flow from your systems. We orchestrate providers and push results back.
Operational primitives
Core capabilities for high-volume TPA operations.
Exception handling you can run repeatedly
Standardized exception states with operator actions and SLA tracking.
Retry alternate provider or escalate
Timer paused
New slot within eligibility window
Timer reset
Retry or convert to walk-in
Extended with reason
Schedule recollection, notify customer
New timer from recollection
Escalate to provider, update customer
Breach flagged
Process cancellation, initiate refund
Case closed, refund SLA begins
All exception transitions recorded in audit trail
Example workflows
From eligibility to reconciliation — governed execution.
Annual health check program with multi-city coverage
Corporate wellness · Multi-city · Varied provider networks
High-volume diagnostics benefit with strict SLAs
Insurer-backed · Contractual SLAs · Compliance reporting
Trust & compliance
Designed for risk-aware execution teams and compliance auditors.
Add primary care benefits to your existing TPA workflows
Discuss how DxStack plugs into your claim and document systems.
Technical evaluation · Integration scoping · No commitment required