-
Medical Necessity
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Experimental
-
Plan-doc
interpretation/enforcement
-
Coding, billing, payment
issues
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Who decides? Who is
responsible?
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A "functional" fiduciary
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Enforcing DOL's Claims
Regulation
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The influence of
stop-loss carriers
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What does ERISA demand of
a Fiduciary?
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What does DOL require of
the decision process?
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How does ELAP's Transfer
work?
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What are the advantages
to Outsourcing?
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