ERISA Revenue Solutions picks up where your internal or external appeals process has given up.

We use ERISA to recover the hidden “gold” left in the claims you have written off as unrecoverable.

ERS appeals on your facility and the patient’s behalf using ERISA (federal) law instead of contractual stipulations (state law).

Under Title 29 §1002 (1) (A):
“(1) The terms “employee welfare benefit plan” and “welfare plan” mean any plan, fund, or program which was heretofore or is hereafter established or maintained by an employer or by an employee organization, or by both, to the extent that such plan, fund, or program was established or is maintained for the purpose of providing for its participants or their beneficiaries, through the purchase of insurance or otherwise,
(A) medical, surgical, or hospital care or benefits…” (emphasis added)

ERISA Revenue Solutions

ERISA Revenue Solutions uses ERISA law and Department of Labor guidelines to recover money due to its clients.

In laymen’s terms: When the employer makes a promise to pay the employee’s medical claims via company supplied medical insurance, the plan administrator at the employer or their designated insurance company plan administrator is legally bound by ERISA law and DOL guidelines to keep that promise.

ERISA will help you recover 100% of your contracted payment minus the patient’s responsibility if you are an in network provider and for out of network providers you are entitled to 100% of your billed charges minus the patient’s portion.

ERISA is not applicable to the following plans: Medicare, Medicaid, governmental, school, church, workers comp, military, and individual plans. It also does not apply to contractual allowances when no ERISA based denial is present.

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We look forward to partnering with you to increase your revenue!

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