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ERISAclaim.com Announced the Nation's First Certification Program for the ERISA Claim Appeal Specialist for Healthcare Providers and Managed-Care Payers
Date:10/13/2009

ims, in more than 50% of $5 trillion in the aggregated denied healthcare claims in 2008. More than 60-70% of healthcare claim denials from insurance companies and managed-care third-party payers by employer-sponsored plans are due to ERISA regulated plan or policy coverage, limitations and exclusions rather than traditional billing, coding, medical necessity and managed care contracting or participation dispute. Although in the past 35 years the notices for ERISA rights to appeal were written on almost every EOB (Explanation of Benefits) in the daily practice in doctors' offices and hospitals, the healthcare providers, managed-care third-party payers, and even legal professionals as well as the state regulators rarely understood how to conduct, manage or regulate ERISA claim appeals for ERISA claim denials and disputes.

The current Obama healthcare reform, regardless which version will prevail, will increase ERISA coverage from current 74% of civilian workers covered with health insurance under ERISA (as of March 2009) to 100% covered civilian workers, to cover, as early as next year, estimated more than 230 million civilian workers and their families. And the new Obama Department Of Labor (DOL) has sworn in to change federal ERISA enforcement from Bush's symbolic, "no teeth", ERISA voluntary compliance assistance to strike-force, "New Sheriff", ERISA enforcement on ERISA claim regulation, for healthcare claims from employer-sponsored and new federal mandated health plans for more than 230 million Americans.

There have been urgent and popular regulatory needs and market demands for ERISA claim compliance education and training in this $6 trillion healthcare denial management market.

ERISAclaim.com is offering the nation's first systematic, comprehensive and advanced eight-day ERISA Certification Program for ERISA Claim Appeals Specialist, starting from January 14, 2010, in light of increasing managed-care claim denial
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