Independent Consulting & Evaluation

We provide peace of mind for you and your enterprise regarding matters such as:

Compliance
Claims Issues
Market Insights
Due Diligence Vendor Reviews
Emerging Trend Guidance
Regulatory Predictive Analysis

Our ICE Digital Learning Portal

We empower you through providing 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 A/I tool for ongoing support.

Our industry professionals are here to help your team with:

Plan Language
Complex Claims
Consulting on Regulatory Issues
Assessing Administrative Service Agreements
NQTL Support

Stop-Loss Coordination
Network and Vendor Issues
Complicated Appeals
Plan Licensing and Administration
And More

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 multimillion-dollar compliance and business solutions team.

Book A Consultation Now

Advanced Self-Funded 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 self-funded plans while passionately supporting people every step of the way.

Higher
Savings

Lower
Costs

Unmatched
Experience

"We've seen more and more brokers knocking on our door because they know we have access to The Phia Group’s ICE service, and they recognize the value that that can bring to them and their prospective clients and ultimately, prospective clients of Nova’s.”

Jamie Farrell

Chief Business Development & Product Officer
Nova Healthcare Administrators

Non-Quantitative Treatment Limitation (NQTL) Comparative Analysis

The Consolidated Appropriations Act requires the completion of an NQTL comparative analysis. The Phia Group ensures that your plans are compliant by:

Assisting you with the identification and review of all required materials.

Supporting you wherever possible in fixing shortfalls to ensure full compliance.

Performing a comprehensive NQTL comparative analysis as required by applicable law.

Flagging variation in mental health and substance use disorder benefits for reconciliation.

Providing written documentation of the results per the Mental Health Parity and Addiction Equity Act.

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.

Get Started Today

Want to Learn More About Our Other Services?

The Phia Ecosystem

Our services work together—or individually—to help you recognize your full cost containment potential.

ICE

Your Partner for B2B Compliance and Business Solutions

Subrogation & Recovery Services

The Key to Unlocking Your Full Recovery Potential

PACE^®

Industry-Renowned Protection Against Fiduciary Liability Arising from Final Level Appeals

Phia Unwrapped

Comprehensive and Technology-Driven Out-of-Network Repricing

Care Empowered Pricing

Next Level Reference-Based Pricing with Quality Care and Fair Pricing Done Your Way

Partner with The Phia Group for:

Compliance Peace of Mind
Plan Document Language
Claims Issue Resolution
Vendor Review
Technology-Powered Solutions

Access to Legal Expertise
Out-of-Network Repricing
Maximized Claim Recovery
Self-Funded Plan Advice
The Highest Level of Care

Joined The Phia Group in 2011

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.

ICE - Your B2B Compliance and Business Solutions Partner