Revenue recovery with ERISA appeals: Exploring the untapped potential in denials and underpayments

ERISA affords healthcare providers the right to pursue appeals outside of any agreements with health plans, and the opportunity for additional revenue may be substantial. This white paper covers the following topics:

  • A background on ERISA and its complexities
  • Why ERISA appeals are underutilized in the hospital revenue cycle
  • Which plans are covered by ERISA
  • Which adverse benefit determinations are appealable under ERISA
  • A comparison of an ERISA appeal vs. a traditional denial appeal
  • And more…


Download the whitepaper to learn why providers could see a 1% increase in net patient service revenue by taking advantage of ERISA appeals.