Provider organizations tell us that as much as 1% of their net patient service revenue is recouped annually by payers. They don’t realize that most of those takebacks are expressly prohibited under ERISA. While health plans are accustomed to setting their own payment terms under state statutes, many of their members are protected by ERISA, […]
Argos Health was named the #1 Complex Claims Vendor in the 2019 and 2020 Black Book surveys of hospital executives, and is a KLAS top-ranked vendor for complex claims.
Argos Health by the Numbers
$1.5 Billion+Revenue recovered
#1Complex claims vendor
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Featured Blog Posts
While providers are exceedingly familiar with the traditional payer-based process for appealing claim denials, remarkably few know about ERISA appeals. The Employment Retirement Income Security Act of 1974 (ERISA) gives providers a federal avenue to pursue additional reimbursement—and it picks up where the traditional appeals process leaves off. Designed to protect the rights of beneficiaries […]
Even among the most seasoned healthcare revenue cycle experts, ERISA appeals are often a new concept. By our estimates, as many as 98% of provider organizations do not realize they can expect a 1% increase in net patient service revenue by exercising the appeals rights granted to them by the federal ERISA law. Because Argos […]
By our estimates, as many as 98% of provider organizations assume that health plans have the last word in coverage decisions and reimbursement rates. Often, they don’t. Most private-sector health plans are actually subject to the Employment Retirement Income Security Act of 1974 (ERISA). This means that providers are typically owed millions of dollars in […]