Supreme Court Signals Broader View of Equitable Relief Under ERISA

June 6th, 2011

“Why the (Supreme) Court embarks on this peculiar path is beyond me. It cannot even be explained by an eagerness to demonstrate — by blatant dictum, if necessary — that, by George, plan members misled by an SPD will be compensated.” Justice Anton Scalia – CIGNA Corp. v. Amara. (emphasis added)   May 17, 2011
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Attachment Of Proof Of Benefit Assignment May Prove Critical To Removal

February 11th, 2011

“CRC is the nation’s leading expert in perfecting, processing and winning claims as described below before they go to any court.  We do ERISA compliance on hospital claims all day, every day and get our clients paid.” “The issues raised in this case are day one standard items for CRC’s claims specialists.  This ruling would
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U.S. Labor Department announces nationwide enforcement actions to protect millions of dollars in worker retirement and health benefits

November 17th, 2010

Media Advisory News Release: November 16, 2010 Contact Name: Gloria Della Phone Number: 202-693-8666 Release Number: 10-1614-NAT U.S. Labor Department announces nationwide enforcement actions to protect millions of dollars in worker retirement and health benefits WASHINGTON – The U.S. Department of Labor’s Employee Benefits Security Administration today announced a series of enforcement actions to protect more than $7 million
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BCBSRI Enjoined from Overpayment Recoupment

November 16th, 2010

BCBSRI Enjoined from Overpayment Recoupment Click title to read article.



Health Insurer Execs Say PPACA is Inevitable

November 12th, 2010

By: Arthur D. Postal – Published 11/11/2010 WASHINGTON—Top officials of Aetna Inc. and Cigna Inc. effectively said they would not support efforts of the new Republican majority in the House to slow implementation of or repeal the new healthcare reform law. “We can’t go back. We need to keep moving forward,” said Mark Bertolini, president of
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Report: Insurers, brokers are hindering healthcare cost reductions

November 12th, 2010

Report: Insurers, brokers are hindering healthcare cost reductions November 02, 2010 | Chris Anderson, Contributing Editor BETHESDA, MD – The Healthcare Performance Management Institute says recent research indicates insurers and benefits consultants are hindering employers’ efforts to reduce healthcare costs. HPM’s “Barriers to Reducing and Controlling Healthcare Costs” examines what officials say are misguided incentives
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BCBSRI Overpayment Ruling

October 29th, 2010

BCBSRI overpayment ruling



ACA Technical Release

October 4th, 2010

ACA Technical Release 2010-01



PPACA – D.O.L. Document Release

September 10th, 2010

D.O.L. Document Release



CRC CEO Scott Winslow interviewed by Healthcare Finance News

April 5th, 2010

Scott Winslow, CEO of CRC Claims, helps organizations use ERISA to appeal insurance companies to gain full payments. The rule of thumb for ERISA is that anyone who gets benefits from their employer is covered; this includes health benefits. Full Article:  http://www.healthcarefinancenews.com/news/erisa-can-help-health-organizations-obtain-full-reimbursement