Proven Performance in Industry and Government

We have an extensive record of excellent past performance in healthcare claims administration — including more than 50 seamless contract transitions, high accuracy rates, and superior compliance. Our success stems from a unique blend of advanced technology, strong customer focus, and an intimate knowledge of government and private programs.

PGBA’s ability to balance rigor and flexibility gives us a distinct operational advantage. Our systems are robust and secure, but also dynamic and adaptive. As a result, we have the capacity and versatility to respond to complex customer requirements.

PGBA builds quality checks, redundancies and internal controls into every operation, while our subject-matter experts bring specialized knowledge to each solution. We add value to every business process with best practices in automation, paperless workflows, quality assurance, event monitoring, strict compliance metrics and contract standards reporting.

High-Performance Indicators:

  • 99.8% monthly accuracy rate across all lines of business
  • 49+ successful transitions of administrative contracts for government and industry customers
  • 18+ million claims processed per year
  • 1.24 million customer service inquiries resolved per year
  • ISO 9001:2015 certification, denoting compliance with global quality standards
  • Certification as a BenchmarkPortal Center of Excellence for call center effectiveness and efficiency

Let's talk about strengthening the key processes behind your programs.