Boon-Chapman

Boon-Chapman is a fully integrated Third Party Administrator (TPA) based in Austin, TX, built to help employer groups, brokers, and insurance entities design and operate health plans that control costs without cutting corners on member care. Founded in 1961 by TJ Chapman and Bob Boon, the company brings more than six decades of healthcare back-office outsourcing experience to organizations looking for a reliable, U. S.-based BPO company specializing in health plan administration. Claims administration anchors the Boon-Chapman platform. The company processes claims with a 99.56% financial accuracy rating, independently audited by Wolcott & Associates, which gives plan sponsors a concrete benchmark to point to. Beyond claims, the team manages FSA, HSA, and HRA accounts, handles COBRA and HIPAA compliance obligations, and supports a range of plan structures including PPO, Reference-Based Pricing, Direct Primary Care, and Virtual Primary Care. Medical, dental, and vision benefit administration, pharmacy benefit manager integration, and data analytics are also included in the service set. Medical management is another core area. Boon-Chapman runs utilization review programs to evaluate medical necessity and catch opportunities for early intervention, disease management programs targeting chronic conditions including diabetes and heart disease, and case management for members with complex care situations. Their Care Navigation service adds a concierge layer on top of all this, coordinating surgical scheduling, pre-op review, out-of-area travel logistics when needed, and post-op follow-up including physical therapy and home health services. The company serves self-funded employer groups, captives, and insurance entities across the United States. Their internal "Boon Champions" program assigns dedicated case managers and nurse managers directly to members on a one-on-one basis, with the goal of guiding each person through their healthcare journey and reducing avoidable utilization. Sister company Soluta, which focuses on employee benefits technology, provides additional infrastructure depth to the combined platform. Organizations evaluating healthcare BPO partners in the U. S. Will find that Boon-Chapman offers independently verified accuracy standards, a broad back-office outsourcing capability, and a service model that can be configured around specific benefit designs. Connecting directly with their Austin-based team is the most direct way to assess whether their administration approach fits a given program.