It's 2019 and Your Still Not Paid Appropriately for Services Rendered

Out of network self-funded employer ERISA plans are paying based fee schedules for patients not on .

Within the last year or two, self-funded employer ERISA plans who opted not to pay a premium for their employees from insurers who contract with care providers; opted not to contract directly with for contractually agreed upon discounts, and opted not to participate in PPO networks who contract with providers for discounts, have unilaterally elected to limit allowable benefit levels in their plan documents to based fee schedules plus a certain percentage. Watch the EOB-it advises your staff that by accepting the payment-you can not bill the patient. That is incorrect but the staff maybe writing the balances off.

 Charles J. Hilton & Associates is a results-oriented law-firm that represents , hospitals and physicians in the area of third-party patient accounts. They have collected over $330 million from insurers* on denied or slow paying patient insurance accounts for our provider clients. Without Attorney Hilton and his team’s legal knowledge in insurance law, many of his hospital clients would have received no reimbursement. I have been in the provider space for more than 30 years you cannot go wrong with a "trusted partner" like Charles J Hilton.

To learn how he and his team can improve your revenue cycle management, please contact Charles Hilton at [email protected] or me at [email protected] or phone 216 337 4472.

Lyman G. Sornberger-