Claims and Appeals for Self-Insured Health Plans: Translating Rules Into Best Practices  

For employers with self-insured group health plans, responsibility for complying with the claims and appeals rules generally falls on the employer as plan administrator. While most employers turn to third-party claims administrators to carry out some or all of these functions, the employer retains legal responsibility—and both the employer and the TPA must understand not only the legal rules but also the contractual issues at stake. This webinar will explain the legal framework and provide strategies for managing the practical challenges.

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