BREAKING NEWS

The Supreme Court today ruled that the Affordable Care Act, PL111-148, in effect since September 28, 2010, including its individual mandate that virtually all Americans buy health insurance, is constitutional.  Congress could use its power to regulate commerce between the states to require everyone to buy health insurance.  Five Justices agreed that the penalty that someone must pay if he refuses to buy insurance is equivalent to a “tax” imposed by Congress. The Court held that the provision concerning the increase in Medicaid enrollment is constitutional as long as states would only lose new funds if they didn’t comply with the new requirements, but not lose all of their Medicaid funding.

PPACA, PL11-148, adopted ERISA claim regulations, as written, in their entirety. The new health care law in the U.S. Is based on ERISA for claims adjudication.

http://www.supremecourt.gov/opinions/11pdf/11-393c3a2.pdf

We’ve moved!

Thank you all for your business!

Growing pains have lead us to a wonderful new building with twice the space of our old location, and room for more growth! Our new address is:

5995 Spring Creek Road, Suite #103

Rockford, IL 61114

How we serve you

ERISA law defines a healthcare denial as “anything less than 100% payment of the claim”, meaning full charges (not the PPO amount). This has the potential to deliver substantial portions of the contractuals for any claim where the commercial insurance coverage was issued by the employer (government, church, and a few other minor categories are excepted).