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Phia Group Media


Don’t Confuse Appeals with Balance-Billing!

On August 6, 2019
https://www.phiagroup.com/Media/Posts/PostId/878/controversy-surrounds-the-most-expensive-drug-in-the-world

One Shot at This

On May 14, 2018
When writing plan documents, make sure to get it right the first time before handing to clients. Click here for everything I have learned & my story.

Pin the Tail on the Donkey & Other Blindfolded Games of Placement

On December 27, 2017
Our industry (that being the self funded health benefits industry) is primarily a web-work of relationships. Unlike a large, traditional health insurance carrier, where all functions are located under one roof, in our industry key pieces of the greater whole are comprised of various independent entities.

TPA of Self-Insured Health Plan Not Subject to Texas Prompt-Pay Law

On February 24, 2016
The Fifth Circuit has ruled that a third-party administrator (TPA) of employer-sponsored self-insured health plans is not an insurer subject to the Texas Prompt Payment Act.

Federal Court Keeps TPA As Third-Party Defendant in Suit Between Stop Loss Carrier and Group

On January 14, 2015
This case is a federal civil procedure professor’s dream. One can easily imagine it as a part of a first-year law student’s final exam. I discuss it because the backdrop for all the procedural issues is a stop loss dispute between a carrier and a group and its TPA