- 1,459
Simple advice learned again today: Make sure you work with a good TPA or your life will become complicated very quickly. If a TPA gives you a debit card option, run away, not worth it. Right now I'm stuck in between an "A" client and a TPA I suggested a few years back. I haven't sent them any new business in two years due to plenty of other issues, but they still seem to haunt me on a quarterly basis.