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.