Empowering Plans: P250 – Claims Gone Wild: When a Denial is Just the Beginning

In this episode of the Empowering Plans podcast, we examine real-world claims that spiraled into appeals, IDR proceedings, provider disputes, participant complaints, and potential litigation in order to demonstrate that a plan can make all the right decisions but still end up in the wrong place. Attorneys Jon Jablon and John Gresh discuss why strong plan language and a defensible rationale are only part of the equation, and why clear communications, careful documentation, timely administration, and early identification of potential problems have become more important than ever.