Adam V. Russo | September 1, 2010
PHX, www.phx-online.com
PHX Acquires Crossfire Technologies to Expand PPO Management Services
PHX today announced that it has acquired all of the assets of Crossfire Technologies, Inc., a leading provider of automated medical claim re-pricing software. Crossfire’s Technologies product line includes automated EDI and Web-based claims re-pricing, provider profile data warehousing and fee schedule management. PHX is expanding the number of existing PPO Networks relationships and intends to include access to over 100 regional and national PPO networks across the country. (more…)
Category: News |
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Adam V. Russo | September 1, 2010
Employers concerned health reform change will add to burdens
By Joanne Wojcik of Business Insurance Magazine, www.businessinsurance.com
WASHINGTON—Interim final rules about the appeals and external claims review processes that nongrandfathered self-insured group health plans must follow under new federal law could prove a challenge for many large, multistate employers, some benefit consultants say.
The challenge is that less than a dozen independent review organizations are qualified to provide those services, the consultants say. (more…)
Category: Health Care Legislation, PPACA |
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Adam V. Russo | September 1, 2010
SIIA, www.siia.org
By Thomas A. Croft, Esq.
I. The Supreme Court Clarifies ERISA Attorney Fee Provision
We have two reasons for reviewing Hardt v. Reliance Standard Life Ins. Co., 130 S. Ct. 2149 (2010). First, it is the latest ERISA decision from the Supreme Court cases define ERISA jurisprudence, they cannot be ignored. Second, the case addresses an issue near and dear to our hearts – attorneys’ fees.
On its facts, Hardt is something of a plain vanilla disability case. Hardt was an executive assistant to the president of Dan River, Inc., a textile manufacturer. After being diagnosed with carpal tunnel syndrome, Hardt applied for long term disability (“LTD”) benefits. Her claim was denied by Reliance Standard Life Insurance Company (“Reliance”), Dan Rivers’ LTD insurer. On appeal, Reliance reversed itself in part and determined that Hardt was totally disabled from performing her current job, thus entitling her to 24 months of coverage. (more…)
Category: 8th, 9th, Attorneys' Fees, ERISA, Fiduciary, Summary Plan Description, Supreme Court |
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