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ERISA Appeals

Unlock hidden revenue from denied claims with our ERISA appeals process. Contact us today for a complimentary consultation and discover how our tailored solutions can transform your billing outcomes to meet the unique needs of your practice.

Recover what is rightfully yours and start taking control of your insurance payments today.

Our Services

Gain a competitive edge with customized trends, in-depth analysis, and actionable insights to achieve exceptional financial results.

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In-Depth Claim Analysis

We meticulously review each denial to identify errors and missed opportunities.

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Expert Appeal Preparation

Our experienced team crafts compelling appeals backed by thorough documentation and compliance expertise.

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Timely Submission & Follow-Up

We ensure appeals are submitted promptly and tracked for a fast resolution.

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Revenue Restoration

Successful appeals restore revenue, allowing you to focus on patient care and growth.

Enhancing Revenue Streams through ERISA Appeals

At CLEAR, we are committed to optimizing revenue recovery through specialized medical billing services, with a particular focus on ERISA (Employee Retirement Income Security Act) appeals.

Transform Denied Claims into Revenue

We have successfully overturned various payer denials, including:

  • Experimental/Investigational Denials
  • Authorization & Pre-Cert Denials
  • Retroactive Termination Denials
  • Medical Necessity Denials
  • High Dollar Claim Delays
  • Silent PPO Adjustments
  • Contract-Related Denials
  • Untimely Filing Denials
  • Inappropriate Bundling
  • Invalid Audit Requests
  • Refund Requests
  • Recoupments
  • Underpayments/Max Per Day Overturns

Partner with us to navigate the complexities of medical billing and appeals, ensuring your practice maximizes its revenue potential.

Our deep understanding of ERISA regulations empowers us to effectively challenge these denials and recover the payments you deserve.

Specialized Billing Expertise

Sleep Labs

Anesthesiology

Surgery Centers

  • Dermatology
  • Gastroenterology
  • General Surgery
  • OB-GYN
  • Ophthalmology
  • Orthopedics
  • Pain Management
  • Podiatry
  • Plastic Reconstruction
  • Radiation Oncology
  • Spine
  • Urology

Discover what CLEAR can do for your surgery center

Licensing and Certification

  • Accreditation Agency Selection 
  • Credentialing of Physicians and Personnel
  • Staff Training and Education
  • Preparation of Policy & Procedures
  • Develop QAPI Program
  • Develop Risk Management Program

Types of Licensure We Specialize In

  • Life and Safety
  • Medicare Certification
  • Office-Based Surgical Center
  • Outpatient Surgical Centers
  • State Licensure

Insurance Verification and Authorization

  • Patient Eligibility
  • Verification of Benefits
  • Submission of Authorization

Revenue Cycle Management

  • Claim Submission
  • Coding and Billing
  • Out of Network Insurance Support
  • Post Submission Follow-Up

Revenue Cycle Management

Medical Billing

Revenue Cycle Management

Medical Billing

At CLEAR Management Group, Inc., we specialize in out- of-network billing, Medicare, workers compensation and personal injury. With clientele throughout the United States, our primary focus is on ambulatory surgery centers (ASCs), anesthesia, and surgical practices

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Out-Of-Network

ERISA Appeals

ERISA Appeals

Recover what is rightfully yours and start taking control of your insurance payments today.

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Healthcare Marketing

Website Development

Healthcare Marketing

CLEAR Management Group Inc. has partnered with a marketing firm that has a deep understanding of the healthcare space and will work with our clients to optimize results.

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Accreditation

Licensing

Accreditation

Our team of experts at CLEAR Management Group manage the entire credentialing process including license verification, background checks and reporting.

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Testimonials

What people say about us