Direct Billing and Custom Billing Solutions for Health Benefits


DataPath’s Direct and Custom Billing Solutions are making leaps and bounds in the healthcare benefits administration industry, helping DataPath become a market leader in billing solution functionality.

Direct BillingAs a TPA, you’re trying to remain competitive, stay on top of regulatory changes, and attract and maintain revenue streams. Overcome these challenges and forge a path to greater success for you and your clients with DataPath’s Direct Billing and Custom Billing solutions. Our billing solutions can be applied to various arenas and adapted to a variety of specifications to meet your needs.

DataPath’s Direct Billing solution is used not only for collecting premiums for group health benefits, but can also be applied to other billing arenas such as leave of absence, contract employees, individual marketplace payments, parking fees, and union dues, or other purposes tailored to your needs.

Our versatile solution adapts to a variety of specifications, enabling you to handle any payment, benefit, billing, and election structure. Additional features include unlimited plan designs, flexible importing, integrated cash management, and fulfillment services.

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DataPath Billing Solutions address important concerns such as these:

“Billing plan setup can be complex, and enrollment takes a lot of time.”Direct Billing

DataPath has simplified the billing plan creation process by providing users with setup wizards and the ability to easily import census, benefit, qualifying event, and payment data. Employee and group census data may also be imported from other DataPath solutions.

“My clients have unique billing needs, which require specific plans and tier structures for each one.”

Our Premium Billing solutions allow you to create unlimited plan designs and tier structures, with customizable eligibility, payment grace, and election periods. There are also unlimited options for subsidy and severance packages, and our solutions also accommodate all loss of coverage rules.

“Cash management is overwhelming with so many incoming and outgoing payments.”

DataPath’s integrated cash management enables you to track all payments received and remitted, create checks, and issue refunds to participants. Process payments by credit card, auto-draft, and checking or savings accounts through our online portal.

“I have to be able to bill to and record payments from third parties.”

Our simple, straightforward “third-party payer” feature allows you to accurately invoice an entity other than the named account holder. Specify a third-party billing entity during account setup, or create as needed per item or benefit being billed. Receipts can be identified in the system by the actual payer, allowing any subsequent refunds to be made to the payer rather than the account holder.

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Direct Billing

Intuitive Interface

  • Perform status changes from one screen
  • Utilize easy undo function to reverse rate changes, qualifying events, elections and terminations
  • Simplify batch processing of letters and reports

Direct Billing

State-of-the-Art Fulfillment Services

  • Generate documents and notices automatically per event timeline
  • Store documents digitally and on the web
  • Print original documents on demand
  • Receive proof of mailing

Direct Billing

Accessible Web Portal

  • Access your account, 24/7
  • Make online elections
  • Communicate, report, and interface with employers and employees

Direct Billing

Other Benefits

  • Automate compliance
  • Choose from multiple delivery options, including web posting with email notification
  • Submit CSV or Excel file formats


Billing Solutions Videos December 1, 2016


DataPath Premium Billing addresses all aspects of billing administration for groups and individuals, including COBRA Administration, Retiree Billing, Direct Billing and non-COBRA State Continuation.

Billing Solutions

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