“Our clients look to us for guidance on how to escape the status quo, and implement programs that will contain costs without exposing them or their plan members to undo hardship. It's a unique opportunity to be on the cutting edge of a constantly changing industry.”

Director, Provider Relations

Save With us - Phia Unwrapped Service

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Unwrapped FAQ

With Phia Unwrapped, The Phia Group replaces wrap network access and modifies non-network payment methodologies, securing payable amounts that are unbeatably low, based upon fair market parameters. Wrap, extender, and other leased networks offer small discounts and audit restrictions, affording providers nearly unlimited rights. Traditionally, “out of network” claims are paid at seemingly arbitrary levels, and when questioned, they can’t be easily defended, in addition to the resultant balance billing of patients. Phia Unwrapped places no minimum threshold on claims to be repriced or potential balance billing to be negotiated, and we attempt to secure preemptive sign-off, ensuring providers will accept the plan’s payment as payment in full.

Phia Unwrapped Provides:

  • Innovative Industry Leading Plan Language that Flawlessly Supports the Program
  • Replace Unfavorable Wrap Networks & Ambiguous “Out of Network” Pricing
  • “Unwrap” all “Out of Network” Claims, with No Minimum Dollar Threshold
  • Prevent Balance-Billing through Professional Negotiation and Provider Sign-Off
  • A Fee Based on a Percent of Actual Savings Means Fair Rates and No Excessive Cost
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