TMG Health
201 Lackawanna Avenue
Scranton, PA 18503
Phone: 888-924-3905

205 O’Neil Highway
Dunmore, PA 18512
Phone: 888-924-3905

Business: TMG Health

TMG Health is a privately held company, jointly owned by management and its venture capital partners with combined financial assets exceeding $1 billion. TMG Health offers Business Process Outsourcing (BPO) services to the Medicare, Medicaid and retiree health plan market.

As the largest and most experienced BPO processor in the Medicare Advantage market, TMG Health offers an innovative and comprehensive suite of services designed to minimize a plan’s capital investment and lower their ongoing operational costs. TMG Health provides operational outsourcing solutions and information systems for health plans, providers and insurers. TMG is not affiliated with any insurance company.

TMG serves over 30 separate health plans and insurers in 50 states and Puerto Rico with a customer base that includes three of the top six insurance carriers in the nation, the fastest growing Medicare Advantage PPO plan in the nation, the fastest growing Medicare Advantage PFFS plan in the nation, a national start-up PFFS plan targeted to individuals and group retirees and 14 Blue Cross Blue Shield plans.

TMG Health’s primary investors include SCP Private Equity Partners I and II and NewSpring L.P.

TMG Health offers a comprehensive suite of services which can be utilized in a fully integrated manner or as individual components, including Managed Care IS systems, data management/reporting; enrollment and eligibility processing; premium billing and reconciliation; member and provider services and call center; health risk screening and working aged surveys; medical management system support and consulting; and support marketing services.

TMG Health supports over 1.5 million Medicare and Medicaid members and handles over 20 million health claims, 300,000 enrollments and 1.6 million Medicare service calls annually.

Fast Facts
Founded: 1998
Number of Employees: 820
Corporate Address:
TMG Health, Inc.
150 South Warner Road, Suite 400
King of Prussia, PA 19406
Telephone: 610-964-8440
Fax: 610-964-8112

Target Markets: Medicare, Medicaid and Group Retiree markets with focus on the array of insurance plans and products that derive from these public health programs. Examples include: PPO, PFFS, HMO, SNP and MSA. In addition, TMG Health has the ability to seek out and support new and innovative plan types.


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