))
Episode 198: Empowering Plans: P159 – Putting the Patient First: Challenges to Common TPA Operations
Manage episode 359527941 series 3337794
Content provided by The Phia Group. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by The Phia Group or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.
In this episode of The Phia Group's Empowering Plans podcast, attorneys Katie Malkin and Jon Jablon take a dive into three aspects of TPA operations designed to try to make the TPA's job more manageable: simplifying EOB denial codes, sending family EOBs, and recouping overpayments by offsetting. These are three common strategies used by TPAs, but applicable law places certain limits on all of them that are not always so intuitive. Tune in as Jon and Katie discuss some best (and worst) practices, and examine critical issues facing TPAs and health plans in today's self-funded industry.
100 episodes
Share
