Health Insurance Feature Article Quoting Quadrino on Healthcare Reimbursement Issues

Managed Care Advisor (Contracting & Reimbursement), a national publication for medical professionals, ran a feature story about Richard Quadrino's use of ERISA as a little-known leverage point that medical providers have in the world of insurance reimbursement. Quadrino was featured in the front page piece, detailing his views on the applicability of ERISA to group health insurance claims and the many issues that medical providers need to be aware of.

Quadrino explained how the timing requirements under ERISA must be strictly adhered to by health insurers and that there are legal consequences when a health insurer violates the ERISA regulations. The regulations govern not only the timing of an insurer's response to a health insurance claim, but the manner and content of the insurer's response. Faulty responses by health insurers may even excuse a medical provider from the need to file an ERISA appeal of the claim denial.

The article reveals certain indispensable principles that can increase the leverage -- and thus the income -- of medical providers in the payment / reimbursement realm.

Medical providers should be sure to contact attorneys with the special knowledge in this field in order to both maximize profits and avoid insurer audits that seek refunds. Contact Richard Quadrino at for further information.