HeyJaredThe Phia Group's Podcast
The Phia Group, LLC is an experienced provider of health care cost containment techniques offering comprehensive consulting services, legal expertise, plan document drafting, subrogation and overpayment recovery, claim negotiation, and plan defense designed to control costs…
- Indexed episodes, last 90 days
- 6
- Latest publication
- Sep 25, 2026
- Audience
- Checking…
- Earliest in this view
- Jul 16, 2026
Latest episodes
Episode 291: Empowering Plans: P252 – Artificial Intelligence and the No Surprises Act (opens the original)
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In this edition of the Empowering Plans podcast, Brian O’Hara and Alex Houle of The Phia Group’s Provider Relations department discuss advancements in Artificial Intelligence, how it is being utilized in healthcare, and the ways providers and health plans are using AI to manage NSA dispute resolution.
Episode 290: Empowering Plans: P251 – Short-Circuit City: AI & Self-Funding (opens the original)
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In this episode, Garrick Hunt and attorney Kelly Dempsey discuss AI entering the self-funding playing field. From claims administration to the liabilities that may fall on plans and their TPAs, there’s so much to discuss and unfortunately a lot of unknowns. Take a listen and share your thoughts and feedback, which might allow Garrick to make another guest appearance on a Part 2 episode on AI and self-funding.
Episode 289: Empowering Plans: P250 – Claims Gone Wild: When a Denial is Just the Beginning (opens the original)
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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,
Episode 288: Empowering Plans: P249 – Peck’s Perspective: Third-Party Liability & Denials (opens the original)
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Tune in for an update from The Phia Group’s CLO, Ron Peck. He’ll bring you up to speed on Phia’s efforts to tackle the hottest topics each month, while also exploring how third-party liability may be contributing to denial and appeal headaches. All while, of course, harassing our podcast producer. Tune in and tune up with Professor Peck!
Episode 287: Empowering Plans: P248 – Defending a Denial (opens the original)
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What separates a denial that withstands judicial scrutiny from one that does not? In this episode, Cindy Merrell explores the key considerations courts may evaluate when reviewing challenged denials. From investigating the facts to clearly articulating the basis for a decision, this episode identifies practical steps that can help administrators improve outcomes and mitigate litigation exposure.
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