The Future is Now: How ERISA and PPACA are Shaping Claim Denials
The Future is Now: How ERISA and PPACA are Shaping Claim Denials
Presented by Attorney Jason B. Martin
This webinar will focus on ERISA and PPACA and how these laws are shaping how health insurance issuers for group health plans must conduct themselves when denying claims.
The following topics will be discussed:
Empowering yourself to appeal claim denials
Defining Adverse Benefit Determination in connection with claim denials
ERISA claims procedure
PPACA requirements – how the new health care law adopted ERISA
Internal Appeals
Notice requirements
Full and fair review
Final determinations
External Review
Independent Review Organizations
Expedited reviews
No deference to plan decision
About the Presenter: Jason B. Martin, Esquire is the founder and president of the Martin Law Firm, P.C., a law firm focusing on health care law and general business and corporate law. The firm was founded in 2001 and currently serves chiropractors and other small group physician practices nationwide[Click here to read more].
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