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Welcome Video
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Learn - Independent Consultation & Evaluation
Plan - Phia Document Management (PDM)
Plan - Plan Drafting Services
Save - Subrogation & Recovery Services
Save - Claim Negotiation & Signoff (CNS)
Save - Phia Unwrapped
Save - No Surprises Act (NSA)
Protect - Plan Appointed Claim Evaluator (PACE)
Protect - Balance Billing Resolution
Phia International
Media
Webinars
Newsletters
Publications
Blog
Press Releases
Podcasts
Industry Articles
Guide to Understanding Subrogation
Moving To Self-Funded Health Plan Guide
Referenced-Based Pricing Explained
Hospital Price Transparency Guide
Balance-Billing: What Patients Need To Know
Employee Rights With COVID-19 Vaccines
The No Surprises Act Explained
Mental Health Parity and Addiction Equity Act Explained
Understanding Non-Quantitative Treatment Limitations (NQTLs)
The Insulin Cap Bill Offers Hope for Americans With Diabetes
In-Network vs Out-of-Network Claims
Gag Clause Prohibition Compliance Attestation
Industry Terms
Members Area
FAQs
FAQ - Subrogation & Reimbursement
FAQ - Mass Tort Subrogation & Reimbursement
Questionnaire Response
Make A Payment
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Learn - Independent Consultation & Evaluation
Plan - Phia Document Management (PDM)
Plan - Plan Drafting Services
Save - Subrogation & Recovery Services
Save - Claim Negotiation & Signoff (CNS)
Save - Phia Unwrapped
Save - No Surprises Act (NSA)
Protect - Plan Appointed Claim Evaluator (PACE)
Protect - Balance Billing Resolution
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Publications
Blog
Press Releases
Podcasts
+
Industry Articles
Guide to Understanding Subrogation
Moving To Self-Funded Health Plan Guide
Referenced-Based Pricing Explained
Hospital Price Transparency Guide
Balance-Billing: What Patients Need To Know
Employee Rights With COVID-19 Vaccines
The No Surprises Act Explained
Mental Health Parity and Addiction Equity Act Explained
Understanding Non-Quantitative Treatment Limitations (NQTLs)
The Insulin Cap Bill Offers Hope for Americans With Diabetes
In-Network vs Out-of-Network Claims
Gag Clause Prohibition Compliance Attestation
Industry Terms
+
Members Area
+
FAQs
FAQ - Subrogation & Reimbursement
FAQ - Mass Tort Subrogation & Reimbursement
Questionnaire Response
Make A Payment
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Posts
Webinars
Newsletters
Publications
Blog
Press Releases
Podcasts
Industry Articles
Guide to Understanding Subrogation
Moving To Self-Funded Health Plan Guide
Referenced-Based Pricing Explained
Hospital Price Transparency Guide
Balance-Billing: What Patients Need To Know
Employee Rights With COVID-19 Vaccines
The No Surprises Act Explained
Mental Health Parity and Addiction Equity Act Explained
Understanding Non-Quantitative Treatment Limitations (NQTLs)
The Insulin Cap Bill Offers Hope for Americans With Diabetes
In-Network vs Out-of-Network Claims
Gag Clause Prohibition Compliance Attestation
Industry Terms
Phia Group
Phia Group Media
Land of 10,000 Stories: Cop and Homeless Veteran
On February 15, 2017
Big medical bills are a problem for many Americans. But few services deliver a bigger surprise hit than a life-saving ride on an air ambulance.
The Guilty Shall Remain Nameless – Yet I Shall Shame Them
On February 14, 2017
I went to the ever famous, “doc in the box.” Prior to walking into the reception area, I told myself I would report as self-pay, not tap my health insurance, and see how it all might shake out.
Empower Your Plans!
On February 14, 2017
The United Benefit Advisors recently came out with the average cost of premiums for health insurance in every state. Let Phia help you empower your plan!
The Time of Uncertainty
On February 13, 2017
At a recent Republican retreat, someone secretly recorded discussions regarding the repeal of the Affordable Care Act.
Ignorance Is Not A Defense
On February 13, 2017
Healthcare is a bill that is oft footed by someone else – so why should we care? We all need to challenge ourselves to be open to viewpoints – listen, learn, and be educated.
Empowering Plans Segment 02 - The Next Episode
On February 12, 2017
In this second installment of The Phia Group's official podcast, our hosts begin sharing what makes their own health plan a source of savings for the employer and benefits employees love.
We Have a New Secretary of HHS
On February 10, 2017
In a rare overnight session, the Senate voted 52-47 (along party lines) to confirm Tom Price (R-GA) as Secretary of HHS. He will be managing a department with a $1 trillion budget and have the authority to rewrite ACA rules.
It’s Tax Time – Do You Know Your 6056 Deadlines?
On February 10, 2017
The tax season is officially upon us. Reporting requirements under ACA Section 6055 and 6056 are still in effect for the 2016 calendar year.
From the Waiting Room: Health Insurance
On February 9, 2017
I recently found myself in a doctor’s waiting room. I overheard another patient arguing with the office administrator. The gist of it was that he was being balance billed for an amount exceeding what insurance paid.
No News Is Good News For Healthcare Providers
On February 9, 2017
Much like a pendulum, there is a swing from right to left with different sides trying to tell their message and incite a reaction; a swing not seen on such a public scale in our own Health Care Industry.
Overpayment Success Story: Dialysis Claim
On February 9, 2017
A dialysis claim was adjudicated at the regular out-of-network rate instead of the dialysis carve-out rate of 130% of Medicare.
Self-Funded Employers Beware the Network!
On February 8, 2017
Self-funded employers should be careful when selecting networks. In some cases, low discounts, anti-audit clauses, unseen provider agreements, and upside-down DRGs can cause more problems than the network access is worth.
The Details of Your Coverage Plan Matter
On February 8, 2017
Employers face many, many regulatory burdens. There is an ever-increasing number of federal regulations to abide by, and each state maintains its own set of regulations
A Canadian Pays Cash for Care – Part One
On February 8, 2017
I paid for the procedure, had no claim to worry about, and the care was excellent. Read more about how I did this.
Mental Health Parity and Claim Negotiation
On February 8, 2017
When choosing claims to have negotiated, don’t worry about mental health parity. While it’s an important set of laws, it primarily protects patients from having higher responsibility. Read More.
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