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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, and early identification of potential problems have become more important than ever.
By The Phia Group4.9
1717 ratings
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, and early identification of potential problems have become more important than ever.

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