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Last updated on April 17, 2014 at 17:30 EDT

Latest ERISAclaim.com Stories

2014-04-11 23:00:45

ERISAclaim.com announces today its renewed 2014 ObamaCare (PPACA) Claim Specialist Programs in the wake of today’s Obama nomination for new HHS Secretary after Sebelius’ resignation, in preparation of the increasing PPACA claims regulation enforcement and the Exchange enrollment. Hanover Park, IL (PRWEB) April 11, 2014 ERISAclaim.com announces today its renewed 2014 ObamaCare (PPACA) Claim Specialist Program in the wake of today’s Obama nomination for a new HHS Secretary after...

2014-04-09 23:31:57

On March 28, 2014, a federal ERISA court ordered BCBS IBC to offer strict ERISA EOB and full and fair appeals as a result of a provider overpayment class-action. ERISAclaim.com demystifies ObamaCare ERISA & PPACA overpayment laws. Hanover Park, IL (PRWEB) April 09, 2014 On March 28, 2014, a federal ERISA court ordered BCBS IBC to offer strict ERISA EOB (Explanation of Benefits) and full and fair appeals, as a result of a provider overpayment class-action. Today ERISAclaim.com...

2014-04-04 23:00:48

On March 26, 2014, a Texas state court dismissed with prejudice all of Aetna’s claims against two Texas physicians for alleged unlawful out-of-network referrals, except for Aetna’s “equitable accounting” claim. ERISAclaim.com demystifies the impact of the decision for all physicians. HAnover Park, IL (PRWEB) April 04, 2014 On March 26, 2014, a Texas state court dismissed with prejudice all of Aetna’s claims against two Texas physicians for alleged unlawful out-of-network...

2014-03-31 23:00:04

On March 28, 2014, a federal ERISA court ruled against BCBS overpayment practice with a permanent injunction, in a provider class-action, as “IBC's practices come nowhere near substantial compliance with ERISA”. ERISAclaim.com demystifies this final ending of the overpayment legal gray zone. Hanover Park, IL (PRWEB) April 01, 2014 On March 28, 2014, a federal ERISA court ruled against BCBS (Independence Blue Cross, IBC) overpayment practice with a permanent injunction, and ruled...

2013-11-08 23:03:41

On November 7, 2013, Federal Court rules in Summary Judgment against BCBS in an overpayment ERISA class action for certain providers: 1) providers are entitled to sue under ERISA; 2) certain BCBS entities completely violated ERISA; 3) providers are not liable to BCBS overpayment claims. Hanover Park, IL (PRWEB) November 08, 2013 On November 7, 2013, a Federal Court in northern district of Illinois rules in Summary Judgment against BCBS in an overpayment ERISA class action for certain...

2013-10-25 23:01:42

On Sept 30, 2013, a federal court fined United Healthcare of Tennessee, Inc (United) for $99,000 in ERISA penalty for failing to provide a patient with treatment guidelines for 900 days. ERISAclaim.com’s new seminars to demystify this landmark decision for all medical necessity denials. Hanover Park, IL (PRWEB) October 25, 2013 On Sept 30, 2013, a federal court in Tennessee fined United Healthcare of Tennessee, Inc (United) for $99,000 in ERISA penalty for failing to provide a patient...

2013-09-06 23:00:13

On August 30, 2013, a federal court preliminarily approved Aetna $120 million UCR (Usual, Customary & Reasonable) class-action settlement with out-of-network (ONET) providers and patients. ERISAclaim.com’s ONET UCR Claim Specialist Certification Program Demystifies this landmark UCR court decision. Hanover Park, Illinpois (PRWEB) September 07, 2013 On August 30, 2013, a federal court in New Jersey preliminarily approved an Aetna $120 million UCR (Usual, Customary & Reasonable)...

2013-09-02 23:00:21

On September 2, 2013, ERISAclaim.com announced “Self-Insured CFO Only” Services, intended for self-insured health plans to recover savings from billions of dollars in TPA’s anti-fraud recovery, based on the recent federal court orders and public records from the industry TPA’s PPACA Medical Loss Ratio(MLR) & anti-fraud strategies. Hanover Park, Illinois (PRWEB) September 02, 2013 On September 2, 2013, ERISAclaim.com announced “Self-Insured CFO Only (SICO)” Services,...

2013-08-22 23:00:30

On August 16, 2013, a federal appeals court sides with Obama Administration (DOL) against Aetna in a provider overpayment ERISA class-action, after DOL filed an Amicus Brief and also joined the provider in the oral argument. DOL’s interpretation of the ERISA for overpayment disputes remains consistent with the recent federal court decisions. Hanover Park, Illinois (PRWEB) August 22, 2013 On August 16, 2013, a federal appeals court sides with Obama Administration (Department of Labor,...

2013-08-19 23:25:39

On August 5, 2013, a federal court concludes that BCBSMI Must Pay directly to the out-of-network provider with valid ERISA assignment, even after his patients were already paid; and that the mistaken payments to patients did not extinguish BCBSMI obligation to pay the provider under ERISA. Hanover Park, Illinois (PRWEB) August 19, 2013 On August 5, 2013, a federal court concludes that (1) BCBSMI must pay directly to the out-of-network provider with valid ERISA assignment, even after his...