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©2010, Jin Zhou, ERISAclaim.com

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New Webinars, Seminars & Certification Classes Announced for New Federal Health Claim Appeals Regulations on July 22, 2010 from HHS, DOL & IRS, Effective On Sept. 23, 2010 for 193 Million Americans

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Webinars, Seminars & Certification Classes for New Federal Health Claim Appeals Regulations

 

ERISAclaim.com - Free Webinars - New Federal Claims & Appeals Regulations, Effective Sept. 23, 2010, for 193 Million Americans

 

ERISAclaim.com: Seminars - 2010 Two-day Basic ERISA Appeal Seminars - Denials and Overpayment Appeals

 

ERISAclaim.com - 2010 PPACA & ERISA Claim Specialist Certification Programs in Chicago, Illinois

 

ERISAclaim.com:  Create An Appeal Department for Your Hospital or Practice (In-house, onsite ERISA Claim Specialist Certification Programs)

 

ERISAclaim.com Press Release

 

Court Ruled Against CIGNA & UHC UCR Class Actions by Out-of-Network Providers On Poor ERISA Assignment - 11-30-2011

ERISAclaim.com Offers Webinars To Examine The New Federal Court Ruling On Sep. 23, 2011 That Dismissed All Out-Of-Network Provider UCR Class Action Claims Against CIGNA And UnitedHealthcare Solely Based On Poor ERISA Assignment.

Supreme Court & PPACA Provide New Protections for Hospitals, Doctors and Patients – Free Webinars From ERISAclaim.com - 08-12-2011

U.S. Supreme Court ended a 36 year managed care injustice under ERISA due to an error in law by clarifying that ERISA provides compensatory make-whole remedies for fiduciary breaches. DOL Recently Filed An ERISA Amicus Brief For Patients And Hospitals. PPACA Adopts ERISA For All Doctors and Hospitals. Free Webinars From ERISAclaim.com to Evaluate New Healthcare Legal Landscape

New Federal PPACA Laws for Direct Claims Payment to Out-of-Network Doctors & Hospitals – PPACA Claims Specialists Readying for Full Enforcement of PPACA - 07-21-2011

On July 14-15, 2011, YF Corp Completed More PPACA Claims Specialist Certification Training, Readying For The Full Official Enforcement Of PPACA Claims Regulation After July 1, 2011, Focused On New Federal Mandate For Direct Claims Payment To Out-Of-Network Providers.

Federal Court Permits Aetna ERISA Class Action to Proceed in Providers’ Overpayment Disputes - 06-21-2011

ERISAclaim.com Offers Webinars to Examine the New Federal Court Ruling on June 20, 2011 to Permit Aetna ERISA Class Action to Proceed in Providers’ Overpayment Disputes under ERISA, and Its Impact in Connection with Official Enforcement Date of PPACA & ERISA Claim Regulations on July 1, 2011.

July 1, 2011 - U.S. Hospitals' PPACA Readiness for New Federal Claims & Appeals Laws - 06-04-2011

ERISAclaim.com Announced Its Preliminary Internet Research Results On The U.S. Hospitals' PPACA Readiness By July 1, 2011, For The Official Enforcement On Health Reform PPACA Claims & Appeals Regulations, In A Follow-Up With A Congressional GAO PPACA Report Published On March 16, 2011.

Health Reform Law for Claims & Appeals: July 1, 2011 - PPACA Enforcement Date For Provider’s Bill Of Rights - 06-01-2011

ERISAclaim.com Announced The Total PPACA Claims & Appeals Compliance Services For Doctors And Hospitals, To Be Compliant By July 1, 2011, PPACA Enforcement Date, Including Education For PPACA Claims Specialists And PPACA Appeals Department, Claims Recovery, And Litigation Support.

PPACA Webinars for Hospital CFOs: Most Sweeping Health Reform Revenue Laws & "Overpayment" Crisis - 04-26-2011

ERISAclaim.com Announced PPACA Webinar For Hospital CFOs: “PPACA - The Most Sweeping Health Reform Revenue Laws & Overpayment Recoupment Crisis”, To Assist Hospitals In Compliance With PPACA, Federal Claims & Appeals Regulations, With Certified PPACA Claim Specialists & PPACA Appeals Department.

PPACA Claims Specialist: YF Corporation Makes History In Advocating Patient’s Bill Of Rights For Claims Denials - 04-25-2011

On April 18, 2011, YF Corporation Completed The 2nd Phase Of Its PPACA Claims Specialist Certification Training, Making History Under Sweeping Health Reform Law & PPACA Claims Regulations For Advocating Patient’s Bill Of Rights In Claims Denials.

Courts' Million-Dollar ERISA Decision Against Hospital Prompts Million-Dollar PPACA Claims Recovery Services - 04-24-2011

ERISAclaim.com Announced Million-Dollar PPACA Claims Recovery Services, Prompted by the Recent Federal Courts’ Million-Dollar ERISA Decision against the In-network Hospital, the Congressional PPACA Appeal Report and the Sweeping Federal Health Reform Law PPACA Claims Regulations Effective on Sep. 23, 2010.

UnitedHealthcare Overpayment ERISA Class Action Expanded with DME and ASC Providers for Additional Complaints - 04-22-2011

More Healthcare Providers, Durable Medical Equipment (DME), Ambulatory Surgical Center (ASC) And National Chiropractic Associations, Joined and Expanded ERISA Class-Action against UnitedHealthcare for Alleged ERISA Violations in Its Overpayment Recoupment and Pre-service Claim Denials. ERISAclaim.com Offers Free Webinars to Examine This Class-Action's Impact in Healthcare Industry.

Federal PPACA Claim Laws for Out-of-Network Doctors & Hospitals – Same Rights as In-Network Providers - 04-18-2011

ERISAclaim.com Announced 2001 New Health Reform Law, PPACA, Webinars & Seminars For All Out-Of-Network Doctors & Hospitals: Same Rights For Receiving Reimbursement Checks, EOB's, Plan Documents, Verifying Coverage, Appeals, Emergency Service Coverage And More, As In-Network Providers.

Feds: No Delays For 99% PPACA Claims & Appeals Laws Except For 3 Minor Standards - 04-02-2011

ERISAclaim.com Adds New Webinars For The PPACA Enforcement Guidance On 03/18/2011 By DOL, HHS & IRS: No Grace period or Extension For The 99% PPACA Claims Laws, Effective On Sept. 23, 2010, Except For 3 Minor New Standards (<1% of PPACA) with Extension on 01/01/2012.

Overpayment Fraud Or SIU / TPA Fraud? – Health Plans Countdown On PPACA Health Reform Laws  -03-28-2011

ERISAclaim.com Announced 2011 PPACA Health Plan Compliance Programs – Fraud & Abuse Prevention, And Plan Assets Audit And Recovery, To Assist Health Plans In PPACA Compliance In The Practice Of Overpayment Recovery, To Review Recent Federal Court Class-Action Rulings And To Recover Plan Assets From TPA’s In The $225 Billion Overpayment Recovery Market.

“Overpayment”: Fraud Or Retroactive Denials? - Doctors & Hospitals Countdown V On PPACA Health Reform Laws  - 03-26-2011

ERISAclaim.com Announced 2011 PPACA Corp. Compliance – Fraud & Abuse Prevention And Appeal Programs To Assist Doctors & Hospitals In Fighting Against Increasing Improper Overpayment Recoupment & Fraud Allegations In True Retroactive Benefits Denials, And Advocating PPACA Compliance For Fraud And Abuse Prevention To Avoid True Fraud Prosecution.

Doctors & Hospitals Countdown IV On PPACA Health Reform Laws – 51% of Doctors Going Broke (TX) & PPACA 911 CPR  - 03-23-2011

On 03-23-2011, PPACA 1st Birthday, ERISAclaim.Com Announced A PPACA 911 CPR Program, For 51% Of Doctors Going Broke In TX And USA: A 10-Day Self Resuscitation Program, To Read Entire 10 Pages Of Complete PPACA Claims Regulations, And To File Just One (1) PPACA Appeal, As PPACA Appeal Laws Govern All Non-Medicare/Medicaid Claims Denials.

Doctors & Hospitals Countdown III On PPACA Health Reform Laws – Court & Feds: No Delays For PPACA Health Claims Litigation & Enforcement  - 03-23-2011

On 03-23-2011, PPACA 1st Birthday, ERISAclaim.com Will Offer A Free Webinar To Examine New Feds PPACA Claims Enforcement Guidance On March 18, 2011, Clarifying For The Effective Date, Extension Date and No Delays for Private PPACA Health Claims Litigation, And PPACA Awareness & Usage By Doctors and Hospitals Since Sep. 23, 2010.

Doctors & Hospitals Countdown II On PPACA Health Reform Laws Deadline On July 01, 2011 - With 0.5% Of Claim Denials Appealed Reported By Congress - 03-20-2011

ERISAclaim.com Announced Its Initial Survey results of less than 0.001% PPACA Appeals Law Education by Provider Associations To Ensure Millions Of Doctors And About 5,815 Hospitals In Compliance with New Federal Appeals Laws By July 01, 2011 Deadline As PPACA Full Enforcement. This Finding Is Much Less Than 0.5% of Claim Denials Appealed (OH) Reported by Congress.

 

In BCBS Overpayment ERISA Class Action, Provider Plaintiffs Seek For Class Certification and Remedies - 03-18-2011

ERISAclaim.com Offers Webinars To Examine Provider Plaintiffs’ Motion, Filed On March 17, 2011, In PCA v. BCBSA Et Al Class Action Lawsuit, To Certify Class, Seeking For Remedies In Injunctive Relief, Asking Court To Find That 23 BCBS Entities Violated Federal Law ERISA And BCBS Must Return Wrongfully Recouped Money.

Doctors & Hospitals Countdown On PPACA Health Reform Laws Deadline on July 01, 2011 - With 39% To 59% Winning Appeals Report From Congress  - 03-18-2011

ERISAclaim.com Announced New Slate Of Services To Ensure Millions Of Doctors And About 5,815 Hospitals In Compliance with New Federal Claims and Appeals Laws By July 01, 2011 Deadline As PPACA Full Enforcement. On March 16, 2011, Congress Reported That 39% To 59% Appeals Reversed Health Insurance Denials While Only A Small Portion Of Denials Are Challenged.

Feds 2011 Report: 39% to 59% Appeals Reversed Health Insurance Denials, And New PPACA Claims Regulations Enforcement Deadline Countdown - 03-17-2011

ERISAclaim.com Announced New Webinars To Examine The 2011 Feds Report – U.S. GAO: Private Health Insurance: Data On Application And Coverage Denials Published On 03-16-2011, Indicated That 39% To 59% Of Appeals Reversed Original Coverage Denials, And To Prepare The Nation For New Federal Claims Regulations For Full Enforcement Deadline On July 01, 2011

Court Affirmed ERISA Embezzlement Convictions – Healthcare Overpayment Recovery Impact & Compliance For Self-Insured Plans  - 03-16-2011

ERISAclaim.com Announced 2011 Free Webinars To Examine A Recent 9th Cir. Court Decision, USA v. Eriksen, Affirming ERISA Embezzlement Convictions, And Its Impact In Healthcare Overpayment Recoupment Market, As A Part Of The New ERISA Plan Assets Recovery Programs To Assist Self-Insured Health Plans In Compliance And Overpayment Recovery Audits.

Free Webinars On 2011 New Federal Health Claims Denials & Appeals Laws – Reimbursement Mandates Under PPACA  - 03-04-2011

ERISAclaim.com Announced New Webinar Schedules For 2011 New Federal Health Claims Denials & Appeals Laws, New PPACA Mandates All Group Health Plan & Individual Market Claims, Effective On 09/23/2010 With A Deadline On July 01, 2011 As Full Enforcement Grace Period. Any Failure To Comply With PPACA By Health Providers Will Result In More Denials And Loss Of Rights To Appeal

Self-Insured Health Plans Should Have Recovered Millions Of Dollars From Billions Of Dollars In TPA’s Overpayment Recoupment Practice  - 02-24-2011

ERISAclaim.com Announced 2011 Free Webinars And Plan Assets Recovery Programs To Assist Self-Insured Health Plans To Recover Hundreds Of Millions Of Dollars In Plan Assets From Successful TPA’s Overpayment Recovery In Billions Of Dollars, As More Than 60% Of TPA Recovered Money Originated From Self-Insured Plans And Should Be Returned To Self-Insured Health Plans Under New DOL Contributory Plans Criminal Project.

HFMA NCA Webinar Held On Health Reform Law 2011 Mandates for Claims Reimbursement & Appeals  -  02-23-2011

On Feb. 22, 2011, HFMA Northern California Chapter Held Its First 2011 Webinar On Health Reform Law 2011 Mandates For Claims Reimbursement & Appeals, Taught By ERISAclaim.Com. New Federal Claims Regulations Have Been Effective Since 09/23/2010, With An Enforcement Grace Period Until July 1, 2011 For Strict And Full Enforcement, For All Group Health Plans, Individual Policies And Healthcare Providers.

Federal Court Ruled Against BCBS in Providers Counter-Lawsuit for ERISA Violations in its Recoupment Practice   -  02-18-2011

ERISAclaim.com Offers Webinars to Examine the Federal Court Ruling on Feb. 16, 2010 that Denied BCBSRI’s Motion to Dismiss Two Providers’ Counterclaim Against BCBSRI for ERISA Violation when BCBSRI Initially Sued Two Providers to Recoup the Alleged Overpayment

COCSA Joins ERISA Class Action Against UnitedHealth Group For Improper Recoupment Abuses - 02-10-2011

The Congress Of Chiropractic State Associations, COCSA, Has Voted To Join A National ERISA Class Action Filed By Pomerantz, One Of The Nation’s Preeminent Class Action Firms, Against UnitedHealth Group. In The Action, COCSA Will Be Representing Its Members, State Chiropractic Associations In All 50 States, In Combatting Alleged ERISA Violations In Overpayment Recoupment Abuses.

UnitedHealth Sued in Providers' ERISA Class-Action in Overpayment Recoupment Dispute for ERISA Violations  - 02-02-2011

ERISAclaim.com Webinars to Examine the Providers' ERISA Class Action against UnitedHealth, the Nation’s Largest Health Insurer, In Overpayment Recoupment Dispute and the Potential Economic and Legal Impact on All Healthcare Providers and Hospitals As Well As Health Plans.

Federal Court Ruled against BCBS Overpayment Class-Action Counterclaims – PPO & Unjust Enrichment Claims Completely Preempted by ERISA

ERISAclaim.com Webinars To Examine Federal Court Ruling Dismissing Regence BCBS Counterclaims Against Plaintiff Providers In The Largest Provider Overpayment ERISA Class Action Against 23 BCBS Entities.

Federal Court Reaffirmed Its Ruling Against BCBS In A $400,000 Overpayment Lawsuit - Free Webinars On Its Impact For Entire Healthcare Industry

On 01/19/2011, Federal Court Reaffirmed Its Earlier Ruling Against BCBSRI On 10/27/2010 In An Overpayment Lawsuit Against Two Providers. “The Court Has Not Changed Its Mind” That Federal Law ERISA Supersedes And Limits BCBSRI Overpayment Recoupment Practice. A Preliminary Injunction Against Plaintiff BCBSRI Was Issued On 11/04/2010.

Healthcare Reform Law PPACA Claim Specialists: New Legal Assignment of Benefits Required Under New Federal Provider’s Bill of Rights

ERISAclaim.com Officially Released 2011 Updated Legal Assignment Of Benefits Forms And Notices To Comply With Newly Effective Federal Health Reform Law, New Provider’s Bill Of Rights Provisions Of New PPACA’s Patients Bill Of Rights, For All Healthcare Providers, To All Health Plans And Individual Insurance Policies.

Healthcare Reform Law PPACA Claim Specialists: YF Corp. Leading the Nation in Advocating Patient's Bill Of Rights & Provider’s Bill of Rights - 01-14-2011

Yolanda Flores (YF) Corp. and ERISAclaim.com Start Nation's First PPACA & ERISA Claims Specialist Certification Program Under New Health Reform Law Last Year, This Month YF Corp. Renews Its Official PPACA Mission Statement And Planning For PPACA Certification Training Throughout 2011.

2011: Healthcare Reimbursement under New Health Reform Laws - With Criminal, Prompt Pay Enforcement, And More PPACA & ERISA Claims Specialists  - 01-03-2011

Beginning on Jan 01, 2011, New Federal Claims Regulations Under Health Reform Laws, PPACA, And New Criminal & Prompt Pay Enforcement On 36 Year Old Federal ERISA Claims Regulations Are Effective For All Health Plans And Individual Policies. PPACA & ERISA Claims Specialists Will Lead Changes In 45 Year Healthcare Reimbursement History.

Are You Ready For 2011 New Federal Prompt Pay Laws Under Health Reform PPACA? – For PPACA & ERISA Claim Specialists - 12-21-2010

On Jan 01, 2011, New Federal Internal And External Prompt Pay Laws Under Health Reform Laws, PPACA, Will Be Effective For All Non-Grandfathered Health Plans And Individual Policies. ERISAclaim.com Announced New Federal Prompt Pay Law Trainings For PPACA & ERISA Claim Specialist And Free Webinars For 2011

Health Reform Law Pays For More Certified PPACA & ERISA Claim Specialists - More Healthcare Experts Ready To Cash In On New Patient’s Bill of Rights - 12-17-2010

On Dec 15, 2010, ERISAclaim.com and Yolanda Flores Corporation Entered an Agreement for PPACA & ERISA Claims Specialist Certification Training Under New Federal Health Reform Laws, Federal Claims & Appeals Regulations, Effective Sep. 23, 210, To Benefit from New Patient’s Bill of Rights & Reimbursement Protections

BCBS Overpayment Class Action Defendants Sought Testimony From The National Expert On Healthcare ERISA Appeal Compliance With ERISAclaim.com - 12-06-2010

On Dec. 6, 2010, Dr. Jin Zhou of ERISAclaim.com Received a Subpoena from 23 Blue Cross Blue Shield Entities to Testify in a Class-Action Lawsuit against Blue Cross Blue Shield over the ERISA Appeals And Overpayment Recoupment Lawsuit, As Many Plaintiffs Were Taught on ERISA Appeal Compliance from ERISAclaim.com.

First National Healthcare PPACA & ERISA Claims Specialist Certification Class Under Health Reform Laws Held For Provider State Association  - 11-22-2010

On Nov. 18, 2010, ERISAclaim.com Held The Nation’s First Federal Healthcare PPACA & ERISA Claims Specialist Certification Class For Ohio State Chiropractic Association, As Patient Bill Of Rights & Reimbursement Protections Under New Federal Health Reform Laws, Federal Claims & Appeals Laws, Effective Sep. 23, 210.

 

Federal Court Stopped BCBS Overpayment Withholding Claim Practice - Free Webinars On Its Impact For Entire Healthcare Industry - 11-15-2010

On 11-04-2010, Federal Court Granted, Without Objection From BCBSRI, A Preliminary Injunction Against Plaintiff Blue Cross & Blue Shield Of Rhode Island Preventing It From Withholding Any Further Payments Due To The Defendant Provider To Satisfy An Alleged Debt Of Overpayment, One Week After Court Ruled, On 10-27-2010, That Federal Law ERISA Supersedes And Limits BCBSRI Overpayment Recoupment Practice.

New Federal Court Ruling Against BCBS Overpayment Practice Gives Green Light To Recover Billions Of Dollars Of Plan Assets For Self-Insured Health Plans - Free Webinars On ERISA Health Plan Assets Recovery  11-10-2010

Federal Court Ruled Against BCBSRI's Overpayment Practice On October 27, 2010. Relied Upon Recent U.S. Supreme Court Rulings, The Court Ruled That BCBSRI’s Post-Payment Overpayment Recoupment Is A Plan Fiduciary Conduct Governed By Federal Law ERISA Instead Of Provider PPO Contract. Coincidentally, This Court Ruling Gives Green Light For Self-Insured Health Plans To Recover ERISA Plan Assets From All TPA's In The Entire Healthcare Industry.

New Federal Court Winnings Against BCBS Prompting Provider Association To Be Certified Under New Federal Claims And Appeals Laws  11-08-2010

In Wake Of Recent Federal Court Favorable Rulings, The Ohio State Chiropractic Association (OSCA) And ERISAclaim.com Entered Agreement For Claims Specialists Certification Training Under New Federal Health Claims And Appeals Laws. As The First Healthcare Provider State Association In The Nation, OSCA Will Effectively Guide Its Members In Fighting Against Abusive And Discriminatory Claim Denials And Solving Overpayment Recoupment Crisis.

Federal Court Ruled Against Blue Cross Blue Shield Overpayment Recoupment Practice: “Court's ruling limits Blue Cross' potential recovery” - FREE WEBINARS ON ITS IMPACT FOR ENTIRE HEALTHCARE INDUSTRY   11-01-2010

Federal Court Ruled Against BCBSRI's Overpayment Recoupment Practice On October 27, 2010. Relied Upon Recent U.S. Supreme Court Rulings, The Court Ruled That Federal Law ERISA Limits Blue Cross 'Potential Recovery, And BCBSRI's State Law Breach Of PPO Contract Claim And Fraud Claim Are Completely Preempted By ERISA. BCBSRI’s Post-Payment Audit Is A Fiduciary Conduct Governed By Federal Law ERISA Instead Of Provider PPO Contract.

Today, Sep. 23, 2010, Date of Birth For New Obama Patient’s Bill Of Reimbursement Rights: Claims & Appeals Laws Going Into Effect    09/23/2010  Hanover Park, IL

Today, New Obama Patient Bill Of Reimbursement Rights, Claims & Appeals Regulations, Go Into Effect For Healthcare Claim Denials & Delays, with New Federal Prompt Pay Enforcement and Penalties for Noncompliance, New EOB Standards, New External Appeals and $100 Excise Tax Penalties, As Historic Landmark Overhaul for Healthcare Reimbursement in 45 Year History.

Free Webinar: New Federal Laws For Overpayment Dispute Going Into Effect On Sep. 23, 2010 With External Appeals and Possible $100/Day/Patient Penalties     09/16/2010  Hanover Park, IL

On Sep. 23, 2010, New Federal Health Reform Law, PPACA, With Appeals Regulations, Will Go Into Effect For Healthcare Claim Denials Including Overpayment Refund Dispute, With New External Appeals and Possible Excise Tax Penalty In $100 Per Day per Patient, In Addition to Existing Federal Law ERISA For 36 Years.

On 36th Birthday of ERISA, Historical Obama-Appeal Seminar Announced for Sep. 23, 2010 - New Federal Appeals Laws Effective Date     09/02/2010  Hanover Park, IL

On Sep. 23, 2010, New Historical Obama Health Reform Appeals Laws (Obama-Appeal) Will Go Into Effect For More Than 193 Million Americans. Patient Protection And Affordable Care Act, PPACA, Was Signed Into Law By Pres. Obama On Mar 23, 2010 As Solutions To U.S. Healthcare And Financial Crisis. A New Historical Obama-Appeal Seminar from ERISAclaim.com Is Planned on Sep. 23, 2010 In Chicago To Lead New U.S. Healthcare Reimbursement History.

Webinars On New Federal Penalties In $100 / Day / Patient On Insurers, HMO’s, TPA’s & IRO’s Under External Review Laws, Effective Sept. 23, 2010 Per IRS, DOL & HHS      08/30/2010  Hanover Park, IL

On August 24, 2010, IRS, DOL & HHS Released New Federal External Review Laws Imposing Federal Excise Tax Penalties in $100 Per Day Per Patient On Employers, Insurers, HMO’, TPA’s & IRO’s For Noncompliance Under Internal Revenue Code & PPACA. ERISAclaim.com Announced New Webinars, Seminars & Certification For All Health Plans, TPA’s, IRO’s And Healthcare Providers To Comply With New Federal External Review Laws To Avoid Any Penalties in Claims Disputes

Webinars for New Federal Appeals Laws on New EOB’s For Claims Denials, Internal And External Appeals Released On August 24, 2010 from IRS, DOL and HHS      08/26/2010  Hanover Park, IL

New Webinars, Seminars & Certification Classes Were Announced By ERISAclaim.com For New Federal Appeals Laws On New EOB’s (Explanation of Benefits) Requirements (Model Notices) For Claim Denials, Both Internal and External Appeals As Well As Detailed Technical Release For Federal External Reviews. These Are New Vital Rules For Reimbursement For All Health Plans and Healthcare Providers After Sept. 23, 2010.

New Protections for Out-of-Network Providers Under New Federal Health Laws and Regulations – Free Webinars Announced from ERISAclaim.com     08/17/2010  Hanover Park, IL

New Webinars, Seminars & Certification Classes Were Announced By ERISAclaim.com On New Protections For Out-Of-Network Providers Under New Federal Health Laws And Regulations: Effective Sept. 23, 2010, For The First Time In History, Non-PPO Providers With Proper Assignment Must Be Recognized As The Claimants By Payers, With Same Rights As Patients And PPO Providers To Directly Receive Insurance Checks And Verify Coverage, And To Appeal Denials And Demand For Total Disclosures From The Payers As The Patients.

Free Webinars: Court Watch - UnitedHealthcare Provider ERISA Class Action Counterclaims Over Its Overpayment Recoupment Practice     08/09/2010  Hanover Park, IL

Free Webinars On United Healthcare Proivers ERISA Class Action Counterclaims On July 21, 2010 In United States District Court, Southern District Of New York, For The Alleged ERISA Violations In Its Overpayment Practice By Patients And Providers. It Is Very Important For All Providers To Closely Watch These Cases And Court Rulings, As Overpayment Recoupment Practice As A Form Of Retrospective Adverse Benefit Determination And National Healthcare Anti-Fraud Campaign Are Intertwined And Enforced With Multi-Billion Dollar Stakes.

New Webinars, Seminars & Certification Classes Announced for New Federal Health Claim Appeals Regulations on July 22, 2010 from HHS, DOL & Treasury    08/05/2010, Hanover Park, IL

New Webinars, Seminars & Certification Classes Were Announced by ERISAclaim.com for New Federal Appeals Regulations Issued on July 22, 2010 by HHS, DOL & Treasury for 193 million Americans. Effective 09/23/2010, New Federal Reimbursement Laws Mandate ERISA Internal Appeals and NAIC External Appeals For All Group and Individual plans With Six New & Most Powerful Consumer Protections

New Health Reform Law Claim Denial Appeal Book Announced for Healthcare Providers to Comply with New PPACA Deadline – 09/23/2010  06/28/2010, Hanover Park, IL

The First New Health Reform Law, PPACA, Claim Denial Appeal CD Book Was Announced by ERISAclaim.com for Healthcare Providers to Appeal Claim Denials and Delays, to Comply with New Health Reform Law, Going into Effect on Sept. 23, 2010, for All Group Health Plans And Healthcare Providers.

New Health Reform Law Appeal Certification Class Announced for Hospitals to Comply with New PPACA Deadline – 09/23/2010  06/24/2010, Hanover Park, IL

The First PPACA Appeal Certification Class for Hospitals Was Announced by ERISAclaim.com. New Federal Reform Law, Patient Protection and Affordable Care Act, PPACA, Signed into Law by President Obama on March 23, 2010, Mandates Full Compliance with PPACA New Claim Appeal Process For All Group Health Plans And Healthcare Providers Effective Sept. 23, 2010

ERISAclaim.com Webinars On Healthcare Revenue Cycle Crisis Turnaround: Pre-Payment Review Delays and Denials – Deemed Denial ERISA Appeals  04/19/2010, Hanover Park, IL

New Webinars Announced From ERISAcaim.com To Resuscitate Revenue Cycle Crisis With Right Federal Law Magic. Providers Are Seemingly Left With No Common Remedies In Wake Of Financial Debilitating Overpayment Demand And Recoupment From Payers, An Increasing Number Of Healthcare Providers Are Also Facing Bankrupting Pre-Payment Review Delays For Up To Over A Year Of No-Pays And Real Denials, In An Unprecedented U.S. Healthcare Avatar: No Payment From Insurance Companies But Pay Back To Insurance Companies By Providers. Once Informed Of Pre-Payment Reviews, All State Prompt Pay Laws No Longer Apply.

Health Reform for Out-Of-Network Providers: Receiving Insurance Checks Directly? – Free Webinars on Why and How  04/05/2010, Hanover Park, IL

ERISAclaim.com Expanded Its Free Webinars to Cover New Obama Health Reform and Reimbursement Laws for Out-Of-Network Non-Participating Provider's Rights to Receive Insurance Reimbursement Checks Directly with Valid Assignment and Nondiscrimination Protections for Nonparticipation. New Obama Health Reform Law Mandates Every Group and Individual Health Plan to Accept Patient Assignment to Send Reimbursement Checks Directly to Providers Regardless of Participation, by Incorporating Existing Federal Law, ERISA, and in Consistent with Recent U.S. Supreme Court Orders.

Health Reform For Doctors And Hospitals: Obama Made An Offer We Can’t Refuse! - ERISAclaim.com Celebrates its Successful Webinars on New Healthcare Reimbursement Laws  04/05/2010, Hanover Park, IL

ERISAclaim.com Is Celebrating Its Successful Webinars On New Healthcare Reimbursement Laws, Offered Since The House Passed Its Version Of Sweeping Reform Bill In Last November, And Subsequent Senate Bill With Identical Provisions For Appeals Laws. After President Obama Signed Into Law The Final Bill On March 23, 2010, Healthcare Providers Have Attended Its Daily Webinars With Overwhelming Reactions: Obama Made An Offer We Can’t Refuse, “To Receive Continued Coverage Pending The Outcome Of The Appeals Process”.

New Free Webinars Announced to Discuss the Latest Federal Court Overpayment Lawsuit Ruling and New Obama Health Laws for the Skyrocketing $6 Trillion Overpayment Recoupment Market 03-29-2010, Hanover Park, IL

New Free Webinars Announced From ERISAclaim.com To Discuss The Latest And The First Federal Court Ruling On March 18, 2010 That A PPO Participating Provider’s Lawsuit Against Anthem BCBS, For The Alleged Wrongful Overpayment Recoupment and Even Withholding From Different Patients, Is Completely Governed By Federal Law, ERISA, Rather Than PPO Contracts And State Laws. The Court Decision Was Mainly Relied Upon U.S. Supreme Court Rulings, the Federal Court Ruling Is Timely Consistent With New Obama Health Reform Laws That Mandate ERISA Appeals For All Group Health Plans And Health Providers. The Federal Court Timely Ruling and New Health Reform Law Mandates Are Vital and Crucial Guidance for a Potentially $6 Trillion Overpayment Market for Every One In Healthcare Delivery System.

New Free Obama Health Law Webinars Announced For Healthcare Providers and Health Plans on New Reimbursement Laws for Claims Processing and Appeals 03-23-2010, Hanover Park, IL

The Final Health Reform Bill Has Been Signed By President Obama Into The Law Of The Land For More Than 95% Americans, As The Most Significant Changes Since Medicare Was Created 45 Years Ago. What Does Obama Healthcare Law Mean To Healthcare Providers And Health Plans? New Free Webinars From ERISAclaim.com Was Announced To Discuss New Federal Reimbursement Law Mandates For All Group Health Plans And Health Care Providers: ERISA Internal And External Appeals, Extended Disclosure And Appeal Rights, New Federal UCR Fee Centers And New Federal Simplified, Uniform Standards For Claim Processing And Appeals.

The New TPA ERISA Appeals Department Training Program Announced for Self-Insured Health Plan’s Denial and Appeal Management To Compliantly Contain Administrative Costs 02-11-2010, Hanover Park, IL

For The First Time In U.S. Health Care History, ERISAclaim.com Announced The Nation’s First TPA ERISA Appeal Management Department Program To Provide TPA’s and Self-Insured Health Plans With A Turn-Key Set-Up Training For The In-House ERISA Appeals Management Department To Process ERISA Appeals Compliantly to Contain Administrative Costs and Avoid Unnecessary Litigations, In Wake Of The New Pending Obama Health Reform Laws Mandating ERISA Compliance for All Group Health Plans Within Six Months of The Enactment

The New ERISA Overpayment Appeals And Anti-Fraud Services Announced For Healthcare Providers Through ERISA Appeals And Anti-Fraud Compliance 02-08-2010, Hanover Park, IL

In Light of Increasing Frivolous And Debilitating Overpayment Refund Demand From Payers, ERISAclaim.com Announced The Nation’s First ERISA Overpayment Appeals and Anti-Fraud Services to Help Healthcare Providers to Effectively Appeal All Alleged Overpayment Denials in Essence of Retrospective Benefits Denials and Increase Fraud and Abuse Prevention ‘Compliance, As Federal Law ERISA Governs All Denials of Benefits From ERISA Plans and Prohibits Fraudulent Interference with ERISA Rights

The New Hospital ERISA Appeals Department Program Announced for Hospital In-House Denial Management and Financial Crisis Turnaround  02-08-2010, Hanover Park, IL

For The First Time In U.S. Health Care History, ERISAclaim.com Announced The Nation’s First Hospital ERISA Appeal Department Program To Provide Hospital With A Turn-Key Set-Up Training For The In-House ERISA Appeals Department To Combat Commercial Managed Care Denials, Overpayment Recoupment Crisis, And Revenue Cycle Outsourcing Dilemmas For Hospital Survival, And ERISA Compliance, In Wake Of The Latest AHA Report Of More Than $36 Billion Hospital Uncompensated Care Cost

The New 2010 Obama Healthcare Reimbursement Law Webinars Announced As ERISA Appeals Procedures Now Mandatory for All Group Health Plans and Healthcare Providers  01-04-2010, Hanover Park, IL

The Final Health Bill Passed In Senate On Christmas Eve Is Completely Consistent With House Health Bill By Incorporating ERISA Claim Regulation In Its Entirety For All Group Health Plans Into Obama Health Reform, For 200 Million Americans Under New Obama Universal Healthcare Laws. ERISA Appeal Process Is Now Mandatory For All Group Health Plans And Healthcare Providers As Well As Consumers. First Free Monthly ERISA Webinar starts on 01/18/2010, and First Advanced ERISA Claim Specialist Certification Program Starts in Feb. 2010.

Free Overpayment Webinar Announced For Self-insured Health Plans To Get Immediate Relief from New $1 Trillion Overpayment Recoupment Embezzlement Market 11-23-2009, Hanover Park, IL

Overpayment Recoupment Embezzlement Fraud Is Typically Committed Sophisticatedly By Health Plan's Third-Party Administrators (TPA) Or "Madoff TPA" For Failing To Refund Or Return The Recouped Overpayment Money To The Original Self-Insured Health Plans. “Anti-Fraud Initiative Is Not Complete Until And Unless The Recouped Overpayment Money Originated From The Plan Assets Is Finally Returned To The Original Self-Insured Health Plans, Or The Fake Anti-Fraud Crusaders Are The Real Fraud Culprit”, Said Dr. Jin Zhou.

New Healthcare Overpayment Recoupment Embezzlement Recovery Service Announced In Wake Of Launch of New Federal Task Force To Combat Healthcare Fraud Crisis 11-19-2009, Hanover Park, IL

Will Obama's New Financial Fraud Task Force Catch The New "Trillion-Dollar Madoff" In The Widespread $1 Trillion Healthcare Overpayment Recoupment Embezzlement Crime? ERISAclaim.com Believes That Private Sectors Shall Be The Equal Partners To The Federal Government In Fighting And Preventing Another Financial Meltdown, And Must Take Proactive And Primary Roles In Conjunction With The Government Fraud Task Force To Save Our Economy And Healthcare System.

The New Healthcare Reform Bill Passed by The Congress Prompted The New Claim Specialist Certification Class from ERISAclaim.com 11-9-2009, Hanover Park, IL

"New Health Care Reform Bill, The Affordable Health Care for American Act, Was Passed by the House Of Representatives Saturday Night, and Is Expected to Be Signed into Law by the President Obama by the End of the Year with Absolute Confidence. ERISAclaim.com Announced the First Claim Specialist Certification Class Specifically for the Compliance with the New Federal Healthcare Law for 96% of Americans"

ERISAclaim.com Announced The Nation's First Embezzlement Recovery Services for Large ERISA Health Plans from the $6 Trillion Healthcare Denial Management Market 10-23-2009, Hanover Park, IL

"ERISAclaim.com is offering a unique ERISA recovery service for midsized and large sized employer-sponsored ERISA health plans from potential or probable embezzlement, kickback, concealment and negligence as well as mismanagement from TPAs and ASOs to recoup potentially hundreds of millions of dollars from current healthcare industry overpayment practice and mismanagement. ERISAclaim.com has gained its unique industry in-depth knowledge and expertise from working with every segment of health care industry in more than 10 years. With unique knowledge of the industry known facts, ERISAclaim.com is dedicated to helping large ERISA plans to recover millions of dollars on a complete contingency basis."

ERISAclaim.com Announced Free ERISA Webinar for Healthcare Overpayment Dispute and Claim Denials in Response to Increasing High Demand from the $6 Trillion Healthcare Denial Management Market  10-19-2009, Hanover Park, IL

ERISAclaim.com is offering free ERISA seminars monthly for healthcare claims in response to the skyrocketing overpayment recoupment dispute and claim denial litigations. Although every day for 35 years, doctors and hospitals were told by insurance Co.'s and payers, on every EOB, to file ERISA Appeals for all denied and delayed claims, very a few providers knew how to, as there has been very little resource available for provider ERISA appeals. Now facing Claim's "WWII" as the overpayment recoupment crisis for those previously paid claims on the top of the increasing new claim denials, the providers are desperately demanding for the ERISA appeal guidance. ERISAclaim.com's free ERISA Webinar is open to all healthcare and benefit professionals.

ERISAclaim.com Announced the Expansion of Its ERISA Litigation Support For the Healthcare Claims In Response to Increasing High Demand from the $6 Trillion Healthcare Denial Management Market. 10-19-2009, Hanover Park, IL

"Effective on October 19, 2009, ERISAclaim.com is expanding its Litigation Support Division for healthcare claims in response to the skyrocketing overpayment recoupment dispute and claim denial litigations in the $6 trillion healthcare denial management market. Federal law ERISA governs more than 80-90% of the insurance and benefit payment for non-Medicare claims for 35 years, when inevitable, litigation is the only legal avenue to resolve healthcare claim dispute to avoid more middle-class bankruptcies for 170 million working Americans and their families covered under ERISA plans." Click for more......

 

ERISAclaim.com Announced 2010 ERISA Seminars for Healthcare Overpayment and Claim Denial Appeals for the $6 Trillion Healthcare Denial Management Market. 10-14-2009, Hanover Park, IL

"For the first time in U.S. healthcare history, ERISAclaim.com is offering the nation's first two-day ERISA Program for overpayment dispute and claim denials, starting from January 12-13, 2010, in Chicago Illinois, for healthcare providers, managed-care third-party payers (TPA), benefits administrators and healthcare attorneys as well as the state regulators. This two-day ERISA seminar is mainly designed to train skilled ERISA Appeal Staff to fight over new claim crisis, and to develop the Special Appeals Department for doctors and hospitals, in conjunction with our optional ERISA Certification Programs for ERISA Claim Appeal Specialist." Click for more......

ERISAclaim.com Announced the Nation's First Certification Program for the ERISA Claim Appeal Specialist for Healthcare Providers and Managed-Care Payers, 10-13-2009, Hanover Park, IL

 

Committed to Compliant Education for Medical Claim Dispute Resolution

"For the first time in U.S. healthcare history, ERISAclaim.com is offering the nation's first eight-day Certification Program for ERISA Claim Appeal Specialist, starting from January 14-15, 2010, in Chicago Illinois, for healthcare providers, managed-care third-party payers (TPA), benefits administrators and healthcare attorneys as well as the state regulators. This ERISA Certification Program is a comprehensive, systematic and advanced problem-oriented interactive learning process, designed to learn and master the most important federal law, ERISA, which governs and regulates more than 90% of non-Medicare commercial claims and more than 60% of healthcare claim denial reasons for the past 35 years." Click for more......

 

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Event Listings

 

 

 

 

 

ERISA & Claim Denials

Aetna Video Shows ERISA Patients Mistreated

 

"According to the video, when faced with claims for identical medical problems, Aetna separates the claims where no damages are available - those subject to the federal Employee Retirement Income Security Act, or ERISA - from non-ERISA claims, where consumers can sue.1 2"

 

ERISA & Health Claim
What Is ERISA and How Does It Affect Patient Rights?

 

"ERISA was enacted in 1974 to protect the pension and welfare benefits that employers provide their workers. It currently covers about 2.5 million health plans and 125 million workers, retirees, and dependents."

 

Department of Labor

 
"A group health plan is an employee welfare benefit plan established or maintained by an employer or by an employee organization (such as a union), or both, that provides medical care for participants or their dependents directly or through insurance, reimbursement, or otherwise.

Most private sector health plans are covered by the

 Employee Retirement Income Security Act (ERISA). Among other things, ERISA provides protections for participants and beneficiaries in employee benefit plans (participant rights), including providing access to plan information. Also, those individuals who manage plans (and other fiduciaries) must meet certain standards of conduct under the fiduciary responsibilities specified in the law."

 

 

$10,600 ERISA Claim

Recent Federal Court Ruling in a Case with $10,600 medical claim, insurance Co. refused to pay, provider made numerous demand for payment in almost one year, but no appeals filed, the court dismissed the lawsuit because provider failed to exhaust administrative remedy, as required under ERISA, by filing ERISAclaim appeals.  This situation is so popular in health-care community.

 

 

 

 

Agree to terms and conditions

"Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply."

 

CIGNA - Coverage Positions/Criteria
"The terms of a participant's particular benefit plan document [Group Service Agreement (GSA), Evidence of Coverage, Certificate of Coverage, Summary Plan Description (SPD) or similar plan document] may differ significantly from the standard benefit plans upon which these Coverage Positions are based. If these Coverage Positions are inconsistent with the terms of the member's specific benefit plan, then the terms of the member's specific benefit plan always control."

 

UnitedHealthcare Medical Policies

"By clicking "I agree," you agree to be bound by the terms and conditions expressed below, in addition to our Site Use Agreement.

UnitedHealthcare medical policies have been made available to you as a general reference resource. When reading these policies you agree that:

Our Medical Policy is not your patient's Benefit Plan.

Your patient's medical benefits are governed and determined by a benefit document, either a Certificate of Coverage or a Summary Plan Description. You should not rely on the information contained in this Web site section to determine your patient's medical benefits.
 

  1. Federal and state mandates and the patient’s benefit document take precedence over these policies.

  2. The patient’s benefit document lists the specific services that have coverage limits or exclusions.


Our Medical Policy does not address every situation and individuals should always consult their physician before making any decisions on medical care."

 

 

   
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