The appeal process is becoming increasingly complex under ERISA, payor rules and plan documents, requiring an extensive knowledge base to successfully pursue payment through the appeal process. CHRMS implements a multi-disciplinary approach to this process. We craft complex, substantive appeals on a claim-by-claim basis and ensure proper timeliness and exhaustion under patients’ health insurance plans; a critical component in ensuring our clients’ claims are positioned to succeed in maximizing reimbursement under ERISA, state regulations and other alternative pathways.