Cash Pricing

UCLA Health UCLA Health offers cash pricing for selected services. Cash-pricing packages must be paid in advance of receiving services. Insurance will not be billed and claim forms will not be provided. If you would like information on cash packages, please call  (310) 794-1125 or ema
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Pennsylvania Health System Offers Up-front Pricing, Prepayment

Written by  Michael Tennant A Pennsylvania health system is making a significant change in how it charges patients for procedures. Instead of sending them or their insurers a complex bill with dozens of different charges after the fact, St. Luke’s University Health Network is posting
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Text of Agency FAQs on ACA Implementation: (Part XXIX) and Mental Health Parity Implementation

BenefitsLink.com October 23, 2015 13 Q&As. “Coverage of Preventive Services … Are plans and issuers required to provide a list of the lactation counseling providers within the network?…. My non-grandfathered group health plan or coverage contains a general exclus
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Are Mass. health care costs rising too quickly?

By Evan Horowitz Health care is expensive. About one in every seven dollars people earn in Massachusetts is used to pay for doctors, hospitals, prescription drugs, and other medical needs. That’s twice what Bay Staters spend at restaurants and nearly the same amount as they spend on h
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The Phia Group, LLC Announces the Release of its Plan Appointed Claim Evaluator (“PACE”) Service

We at The Phia Group are pleased to offer our Plan Appointed Claim Evaluator (PACE) service to the self-funded industry. PACE spent a great deal of time in the development, testing, and “beta” phases – and we are now ready to roll it out to the industry at large. Mak
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The Phia Group’s October 2015 Webinar – Register Now!

A Call to Action! Proposed state and federal regulations, bulletins, litigation, industry developments & troubling trends. Wednesday, October 14th, 2015 1:00 PM (EST) to 2:00 PM (EST)  Join Us – Register Today!  All too often, we find ourselves comfortably observing change f
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Third Quarter Newsletter 2015 – Phia News

Open Positions at Phia IT Technologist Development Engineer (Check here for updates and more information!) New Faces at Phia (new hires) Joe Montalto came aboard as our Chief Operating Officer, effective August 5, 2015 o   Movin’ On Up Additions to the Phamily On August 18th, Jen McCo
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Third Quarter Newsletter 2015 – Get to Know the Employee of the Quarter: Jason Kemp

Every quarter, The Phia Group’s management team identifies an employee who has truly gone above and beyond in order to make the company a better place to work. Of a multitude of options, a decision was made, and Jason Kemp is very much deserving of this honor. Jason has always been an
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Third Quarter Newsletter 2015 – Service Focus of the Quarter: Overpayments

Overpayments (like some other things) happen. It’s a fact of the insurance world, and TPAs should not be ashamed of it. After all, the majority of overpayments are not the fault of a TPA, but rather incomplete COB information, incorrect provider billing, misrepresentations, or any of
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Third Quarter Newsletter 2015 – Phia Group Case Study

A self-funded health plan denied claims on the basis of being not medically necessary. The provider’s attorney appealed the $200,000 denial; the TPA denied the appeal on the basis that the claims were experimental, rather than medically necessary, despite the initial denial’s being ba
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