Healthcare & Regulated Programs

Third-Party Administrator (TPA) Integrations

Automate reward delivery inside TPA platforms across claims, benefits, and engagement programs.

Overview

Common TPA-driven programs include:

  • Benefits administration incentives
  • Claims-based reward programs
  • Wellness and engagement initiatives
  • Preventive care tracking programs
  • Member or employee engagement campaigns

TPAs can use gift cards as standardized rewards across multiple client programs.

How the API is Used

  • Integrate reward delivery into TPA platforms
  • Trigger incentives based on claims, activities, or milestones
  • Support multi-client program management
  • Deliver rewards via email, SMS, or claim links
  • Track fulfillment across programs and clients

Example Workflow

  • Member or employee completes a qualifying activity
  • TPA platform records the event such as a processed claim or completed activity
  • TPA system triggers a reward via the API
  • The gift card is delivered to the end user

API Integration Flow

API Integration Flow

1
Authenticate
POST /v1/Tokens
2
Retrieve products
GET /v1/Products
3
Send reward
POST /v1/Orders
4
Track status
GET /v1/Orders/{id} or webhook

Example Request

JSON 
{
  "Type": "DigitalDelivery",
  "LineItems": [
    {
      "ProductId": "CVS",
      "Value": 25,
      "Quantity": 1,
      "DigitalDeliveryAddress": {
        "Email": "member@email.com"
      },
      "Personalization": {
        "To": "Member",
        "FromName": "Benefits Team",
        "Message": "Thank you for completing your program activity."
      }
    }
  ],
  "PONumber": "TPA-9001"
}

Delivery Options

  • DigitalDelivery - Send gift cards via email or SMS
  • Links - Generate claim links for flexible distribution
  • PhysicalShipment - Ship physical gift cards

Benefits

  • Enables scalable reward delivery across multiple clients
  • Integrates directly into TPA systems and workflows
  • Automates incentive fulfillment
  • Supports consistent reward experiences

Compliance Considerations

  • Ensure alignment with client-specific program guidelines
  • Maintain auditability across multiple programs
  • Support reporting requirements for employers and health plans

Common Program Types

  • Benefits administration incentives
  • Claims-based rewards
  • Wellness engagement programs
  • Preventive care tracking programs

Related Use Cases