Phia Group Media

rss

Phia Group Media


To Pay or Not To Pay - Examining Exclusions, Definitions, and Other Things That Really Matter
To Pay or Not To Pay - Examining Exclusions, Definitions, and Other Things That Really Matter

Whether you are a plan administrator or claims processor trying to determine eligibility of a claim, or a stop-loss carrier trying to determine whether a submission is reimbursable, how applicable provisions apply to specific facts make all the difference. From exclusions to definitions… from discretionary authority to applicable law… not only understanding what a great document says – but understanding those documents “mean” – is the difference between overpayments and financial stability. Join The Phia Group’s innovative leaders as they discuss the best and worst language, how it impacted real plans when theory met reality, and when we were forced to ask, “to pay, or not to pay?”

PDF Version

View Webinar