ICE –
Your B2B Compliance and Business Solutions Partner
The Phia Group Provides World-Class Support for Your Health Plans
Joined The Phia Group in 2011
Our Industry Professionals Are Here to Help Your Team With:
Plan Language
Claims and Appeals
Consultation on Regulatory Issues
Assessing Administrative Service Agreements
Stop-Loss Coordination
Network and Vendor Issues
Plan Licensing and Administration
NQTL Support
With ICE, your days of educating costly lawyers about your business are over. For a fixed rate, your team has full access to and support from an experienced multi-million-dollar compliance and business solutions team.
Looking for NQTL support or assistance with plan documents? The Phia Group has you covered.
Our ICE Digital Learning Portal
We empower you with instant access to a library of e-learning resources on our ICE portal. It’s your 24/7 gateway to reference materials, ICE-exclusive content, and our SoPhia™ tool for ongoing support.
SoPhia – Our Sophisticated A/I Tool
With SoPhia, you can seamlessly unlock access to critical regulatory information. The chat function allows you to ask specific questions about regulations pertinent to the health benefits industry. You can also ask to connect with an ICE team member directly for further clarification.
Ask SoPhia:
Which providers can submit an NSA claim?
Can an ERISA plan have a termination contingency?
If a plan covers mental health benefits, is it required to cover substance use disorder benefits?
What claims are eligible for IDR?
Advanced Health Plan Guidance and Support
“An ounce of prevention is worth a pound of… compliance issues and lawsuits.”
We resolve stop-loss disputes which secures money for the plan to invest in care. The Phia Group combines everything needed to improve your cost containment for health plans while passionately supporting people every step of the way.
Higher
Savings
Lower
Costs
Unmatched
Experience
The ICE Impact
ROI Versus Comparable Insourcing
Access to ICE Portal, Phia University and SoPhia
Attorney Consultants Available
Michou Reichelsdorfer
President
Prairie States Enterprises, Inc.
“Whether it is a claim issue, stop-loss, compliance, new ideas we want to explore—The Phia Group’s ICE consulting team brings professionalism and responsiveness to every interaction. It is like having over a dozen consultants of various expertise available to discuss what I need. It would cost me exponentially more to source all the experts individually that I simply get with ICE—it is a terrific value, and it gives me peace of mind that The Phia Group is in my corner.”
Christine Hammerquist
EVP Vendor Management and Technology Operations
Point C
"The Phia Group’s ICE service has been critical for my team and my business. Every day, brokers ask us to accommodate new services and programs. We need to quickly assess the compliance of these point solutions and how to integrate them into various plan designs. Phia is always a call, email or text away, and I rest easy knowing they are there to back me up."
Julie Mueller
President & CEO
Custom Design Benefits
"Before we had The Phia Group’s ICE product, we had to employ a full-time attorney to support our brokers and clients’ compliance needs as well as our own business needs. In the fast changing legislative and business environment, ICE provides our team with timely, accurate and easy to understand feedback on those tough questions. It allows us to focus on taking excellent care of our brokers’, clients’, and members’ benefits needs."
ICE Savings in Action
A client came to us with a stop-loss denial issue. A member on their health plan had been a passenger on a boat during a boat race and got into a serious accident. The member suffered a fractured femur. The member advised that he was not filing a claim against anyone as a result of this incident and the member signed a waiver before he could be a participant in this event. The stop-loss carrier denied reimbursement of the claims, which totaled $140,000.
Non-Quantitative Treatment Limitation (NQTL) Comparative Analysis
The Phia Group is your premier, trusted personal advisor, helping you navigate regulations to keep your business in compliance. In addition to our other services, we offer NQTL comparative analysis for MHPAEA compliance and plan document assistance with our PDM and plan drafting services.
Identifying areas where NQTLs are more restrictive for mental health and substance use disorder benefits than for medical and surgical benefits.
Ensuring DOL-mandated compliance with NQTL audits.
Delivering a written NQTL comparative analysis report, per CAA requirements.
Offering a fiduciary certification template for plan fiduciary to submit.
Phia Document Management® (PDM) and Plan Drafting Services
Phia Document Management
PDM streamlines plan document creation by eliminating manual data entry and leveraging existing materials for enhanced efficiency. It goes beyond compliance, offering strategic insights and real-time updates to help you manage fiduciary responsibilities and stay ahead of regulatory changes.
Plan Drafting Services
By combining technology with compliance and a client-centric, customized approach, The Phia Group strengthens your plan documents while ensuring that you make prudent plan design decisions and achieve health plan success.
What You Can Expect with The Phia Group
Proactive assessment of costly compliance gaps within plan operating documents.
Enterprise guidance on new strategies, cost control, and potential revenue streams.
Ongoing staff training and support including regulatory updates.
Assurance that partner questions, concerns, and new ideas are reviewed by the best.
The Phia Group is here to support you – from simple advice to industry issues, and everything in between.
Want to Learn More About What Our Other Services Can Do For You?
The Phia Ecosystem
Our services work together—or individually—to help you recognize your full cost containment potential.
When Plans Win, So Do Families
We believe that everyone should have access to high-quality and justifiably priced care.
Contact us today to get started.
