Erisa Recovery
972-331-4140

Experts in complex and aged claims through our Federal ERISA appeals

Dennis Shirley MBA, CHFP

ERISA Recovery helped us to recover cash that otherwise would have been left uncollected. Their expertise in understanding ERISA rules and working with payers has yielded significant results for our organization and we appreciate the partnership.

1st Vice President
Revenue Cycle at UnityPoint Health

Matthew Stojakovich

ERISA Recovery was able to provide a substantial lift on reimbursements we otherwise would not have collected on. The lift on our end was minimal and the benefit to cash was immediate.

Executive Director Revenue Cycle Shared Services
University of Miami Health System

 

Jason Kane

As Jefferson Health expands, we seek a partner capable of enhancing revenue with minimal reliance on our internal teams. ERISA Recovery has opened doors to new possibilities and swiftly surpassed our expectations, delivering remarkable results. Their exceptional performance and support have been invaluable to our success.

Vice President, Enterprise Revenue Cycle
Jefferson Health

John A. Orsini, CPA

Northwestern Memorial HealthCare has been working with ERISA Recovery with excellent results. They are experts in complex claim resolution and have helped us recover payments for previously denied claims.

Senior Vice President and Chief Financial Officer
Northwestern Memorial HealthCare

ERISA Appeals

ERISA Appeals

Clinical Denials

Clinical Denials

Technical Denials

Technical Denials

Motor Vehicle Accidents (MVA)

Motor Vehicle Accidents (MVA)

Workers Comp

Workers Comp

Underpayments/Zero Balance

Underpayments/Zero Balance

Veteran’s Affairs Denials

Veteran’s Affairs Denials

Denials Management / Special Projects

Denials Management / Special Projects

Millions In “Lost Revenue”

We collect commercial and Medicaid/Medicare Advantage claims

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No Upfront Costs

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No Increased Workload

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All Denials

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All Work Done Stateside

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Recoveries in First 30 Days

Northwestern Memorial’s Chief Financial Officer discusses the benefits of working with ERISA Recovery

Appeals

Appeals Backed by ERISA Federal Law

Think you’ve exhausted your options to collect aged claims?

We hold commercial insurers accountable to pay denied claims aged up to 10 years through Employee Retirement Income Security Act (ERISA) appeals.

ERISA Recovery can help!

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Why ERISA Recovery?

Simple process.

Simple process.

All we need are standard reports from your revenue cycle management team. We’ll do the rest.
Easy onboarding.

Easy onboarding.

No vendor or process changes are required as we work your aged and complex claims.
Consistent results.

Consistent results.

Our process leads to quick wins for you. Clients recover $1M* or more in the first 90 days.

*Figure based on average appeal size.

ER Solutions

We optimize healthcare revenue like no one else can.

ERISA Appeals

ERISA Appeals

Collect commercial claims aged 6-10 years through our appeals process.

  • Gain a virtual appeals department
  • Get automated insights fast
  • No upfront costs or hospital resources
  • Win appeals just 3 weeks after filing
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Claim Denials

Claim Denials

Accelerate reimbursement and minimize on all denials.

  • Workers comp
  • Medical necessity
  • Pre-authorization
  • Experimental
  • Non-covered
  • Investigational
  • Veteran’s Affairs
  • ALL other types
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Medicare/Medicaid Reimbursements

Medicare — Medicaid Reimbursements

Maximize reimbursement consistency.

  • Collect denied claims
  • Enhanced accuracy and compliance
  • Uninterrupted reimbursement
  • Recapture millions usually written off
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Getting Started Is Simple

Your free analysis can take as little as 15 minutes.

Free Analysis

Step 1 Free Analysis

Send us electronic medical records (EMR) reports.
Setup

Step 2 Setup

Our analytics tool identifies claims we can appeal.
Collect

Step 3 Collect

Start seeing returns as early as 60-90 days.
Get Started Today

How We Recover Hospital Claims

ERISA offers untapped opportunities to optimize revenue

ERISA is a federal law protecting hospitals from illegitimate claim denials.

To leverage it, you need an expert. ERISA is a complex law spanning 80,000 pages. Hospitals lack the knowledge and resources to wield this powerful tool alone.

That’s where we come in.

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We apply technology and ERISA
know‑how to recover revenue from aged commercial claims.

Our proprietary process uses advanced machine learning technology to quickly and efficiently identify denied claims we can win.

We then apply our extensive knowledge of the ERISA appeals process to recover your aged and dead claims.

Our process can be applied to all types of claims, optimizing hospital revenue like never before.

ERISA applies to nearly 77% of the marketplace, yet fewer than 0.005% of claims are appealed this way.

It’s untapped revenue. With ERISA Recovery, hospitals have a brand new way to optimize revenue across the entire claim cycle.

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Hospital Claims Recovery

Filing claims and appeals for hospital services can be extremely challenging. Despite the sheer number of employees and man-hours allocated into maintaining collections, some claims remain unpaid. These unpaid claims get written-off and are never worked again. One way to increase collections is to utilize the Federal ERISA Appeals process. Yet, despite applying to nearly 77% of the marketplace, fewer than 0.005% of claims are appealed this way.

Here at ERISA Recovery, we are the experts in Federal ERISA appeals. Through our appeals process, we can maximize recovery on old uncollectable claims. We work behind other vendors you might have, are contingency based, and can collect where others can’t. ERISA Recovery brings a wealth of knowledge and experience assisting hospitals, bridging the gap without additional stress on hospital resources.

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