Photo Of Phia Group Claim Negotiation Team Member - Kelly Dempsey

“We are a team of like minded individuals working together to achieve our client's goals, and support our shared mission of reducing the cost of healthcare.”

KELLY DEMPSEY
Save With Us - Claim Negotiation
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Unwrapped FAQ
Case Studies

Offer flexible service options driven by client needs, innovative methods to identify more opportunities and master applicable laws, yielding results unmatched by anyone else.

  • Industry Tested Plan Language and Contract Expertise 
  • Accurate Claim Cost Assessments and Pricing 
  • Signed Provider Agreements to Prevent Balance Billing 
  • Fees Apply Only to True Savings 

Phia Unwrapped 

Most benefit plans will pay excessive amounts to providers that are out of network or in a wrap network.  With The Phia Group, payers can make reasonable payments, enjoying incredible savings and still protecting their participants from balance billing.  Replace costly out-of-network and wrap network claims, through the use of innovative language, legal resources and best-in-class pricing options.    

Claim Negotiation & Signoff (CNS) 

When paying for healthcare, consumers should have the right to secure fair rates without the threat of balance-billing. Utilizing a comprehensive program that combines targeted data, industry expertise, and negotiation by attorneys, our clients enjoy true savings and protection through provider signed agreements. 

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The Data

The Phia Group taps into our comprehensive data to define equitable, market-based prices for medical care. The Phia Group places payers on a level playing field with the providers – maximizing savings. Many providers use comparative data when, for instance, making their implant purchases. We leverage this data to provide a foundation for effective negotiation.

The Negotiators

A cost containment program is only as good as the people executing it. The Phia Group’s legal expertise combined with objective cost data yields enforceable savings.

True Savings

The Phia Group’s fee is based upon actual savings achieved compared to fictional savings derived by applying a percentage to egregious and arbitrary charges. At last, the industry can rely upon reasonable fees applied to only true savings, thereby achieving actual cost-containment.