The Phia Group Blog

By: Brady Bizarro, Esq. This morning, I had the pleasure of attending a conference held by the Massachusetts Association of Health Plans on “Examining the Effect of a Repeal of the ACA on the Mass. Healthcare Market.” A number of…

By: Ron Peck, Esq. In my time, I’ve encountered opposition that admits to knowing nothing about the topic, and seeks to engage me in common sense discussion; and, opposition that blows me away with the level of in-depth knowledge they…

By: Garrick Hunt My wife, quite literally, has no idea what I do for a living. When friends and family ask, she normally replies, “…he does something with subrogation…and it involves health insurance.” After a while, this ambiguous description no…

By: Michael Branco The Phia Group’s overpayment specialists received two claims – same provider, same patient – totaling over $760,000. The reason for the refund was that the original repricing was incorrect. Upon contacting the provider, our overpayment case handler…

By: Jennifer McCormick, Esq. Phia is continuously searching for ways to evolve and improve the plan drafting process for our clients, including notification of key compliance changes. Employers and plans moving from fully insured carriers or switching between administrators want…

Phia received a $60K claim caused by a serious fall while the member was hiking. The member was taken to the nearest hospital which was out of network, and where the client had a history of 20% discounts.  Phia had…