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Learn - Independent Consultation & Evaluation
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Protect - Plan Appointed Claim Evaluator (PACE)
Protect - Patient Defender & Balance Billing
Phia International
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Covid-19
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Newsletters
Publications
Blog
Press Releases
Podcasts
Industry Terms
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
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FAQ - Subrogation & Reimbursement
FAQ - Mass Tort Subrogation & Reimbursement
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Posts
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Covid-19
Webinars
Newsletters
Publications
Blog
Press Releases
Podcasts
Industry Terms
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
Phia Group Media
Phia Group Media
Doe v. United Behavioral Health – A Fiduciary Twist
On April 9, 2021
Learn about how a self-funded plan's application of an exclusion led to a lawsuit brought against their claims administrator and why it has TPAs concerned.
Empowering Plans: P105 – The Mystery Surrounding COVID-19 Long Haulers: Employment & Benefit Considerations
On April 6, 2021
In this podcast, experts discuss Covid long haulers and the challenges they face. Learn about the impact on employer and benefit considerations.
Here for the Long Haul – Are Employers and Plans Ready?
On April 6, 2021
What are Covid long haulers? Click to learn about the long-term impact of Covid on patients and what this could mean for employers and health plans.
Fallout in the Spring – COVID Claim Disputes, Surprise Billing RBP Opportunities & Return to Work Vaccine Mandates
On March 24, 2021
Are you ready for this new chapter in the pandemic saga? Learn about Covid claim disputes, surprise billing RBP opportunities and vaccine mandates.
No Surprises Act & “Plan Websites”
On March 19, 2021
We received a great question about whether plans must host the provider list and directory on their website or can simply link to it. Read to learn more.
Empowering Plans: P104 – COVID-19 Vaccine Candidates – Vaccinating Vulnerable Populations
On March 17, 2021
This podcast discusses vaccinating vulnerable populations for Covid. Learn about herd immunity and the next steps for expanding vaccine eligibility.
A COBRA Conundrum
On March 15, 2021
COBRA has become more accessible than ever. Learn about how it is making timelines more difficult to follow and coverage more difficult to administer.
EBSA Provides Clarification and Sows Confusion with Outbreak Period Guidance
On March 8, 2021
The EBSA released its Disaster Relief Notice addressing the tolling timelines. Learn about how to parse through this confusing topic with The Phia Group.
So the Outbreak Period Ended?
On March 2, 2021
The DOL released an EBSA Disaster Relief Notice which limits agencies' authority by statute and gives people a chance for relief up to a year. Read here.
Empowering Plans: P103 – One Step Forward; Two Steps Back - The Lockdown and its Effect on Children with Disabilities
On March 2, 2021
Join Timothy Pope, an Attorney in the Provider Relations Department, and Garrick Hunt, Phia’s Sales Manager, as they host a candid discussion about the harmful effects that the sweeping lockdown has had on families, and in particular on children with disabilities. Since the closing of most public schools, many children with disabilities have suffered immensely. As a parent of a child with mental disabilities, Garrick dives into his first-hand account of the lockdown’s impact on his family.
A Blueprint for Success – Lessons from 2020, Expectations for 2021
On February 25, 2021
Join The Phia Group to learn from the past, and plan for the future! In this webinar, The Phia Group will both examine what has happened as well as predict what is to come, as they help you identify what needs to be done to ensure the best possible outcomes for this coming year. They will discuss President Biden’s first month in office, identify whom he has appointed for key roles (and examine their track records on healthcare), as well as dissect the issues that were most relevant in 2020 – ensuring we learn from both the victories and losses of the year that has ended.
Empowering Plans: P102 – CYA: Cover Your Assets
On February 12, 2021
In this episode of the Empowering Plans podcast, Nick and Brady talk through some developing trends in ERISA litigation. Do fiduciary duties apply to the protection of plan data? Could a data breach lead to claims under ERISA and HIPAA? What steps do ERISA fiduciaries need to take? Listen in as we explore where things stand, and where they might be heading.
DON’T PANIC – Mental Health Parity Compliance Expanded
On February 8, 2021
Ease your mind about complying with Section 203 of the Consolidated Appropriations Act. Learn more about this Compliance and its requirements/process.
Empowering Plans: P101 – Groundhog Day - A Year of COVID-19
On February 4, 2021
In this episode of Empowering Plans, join Brady Bizarro and Jen McCormick as they have a conversation about the impact of COVID-19 on employers, health plans, and employees. How should employers be dealing with mental health, physical health, and productivity issues? What steps can health plans take to reduce claims exposure? How are employers planning to return to the office later this year? It may feel like Groundhog Day, but our advice is certainly not more of the same.
HIPAA Compliance Audits – Good News and Bad News
On February 1, 2021
The government recently released findings of the extensive HIPAA compliance audit performed in 2016 and 2017. Click to learn more about the results!
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