ERISA Recovery
The lift on our end was minimal and the benefit to cash was immediate.
Matthew Stojakovich, Executive Director Revenue Cycle Shared Services, University of Miami Health System
Our Process

Our process is simple.

Turn those complex and aged claims into millions. For hospital executives seeking stronger financial performance, ERISA offers an intelligent path.

THE TECHNOLOGY PLATFORM

Echo. Edge. Enlight.

Three layers that turn denials into dollars.

ECHOPre-Claim Work: Prediction, Patterning, and Narrative Generation

Echo is the AI engine that evaluates every denied claim before an analyst ever touches it. It combines predictive modeling, deep historical analysis, and narrative synthesis to surface only the most viable opportunities — already pre-scored, contextualized, and strategically outlined.

ML Predictions Engine

  • Likelihood of successful recovery
  • Reasons for denial
  • Strategic value (ROI-based scoring)

Historical Recall Engine

Compares new claims to ERISA Recovery’s 12+ years of successful appeals. If we’ve overturned something like it before, Echo knows — and brings forward the playbook.

Narrative Intelligence Module

  • Why the patient sought treatment
  • What happened during the visit
  • Why the provider was denied
  • What strategy might reverse it

Echo arms analysts with deep, automated insight before they ever lift a finger — saving time and ensuring the highest-value claims are worked first.

We are the experts.

From general services to our claim and denial specializations.

Underpayments / Zero Balance

Find and recover underpayments and zero-balance claims.

Clinical Denials

Recover clinical denials across inpatient and post-discharge.

Technical Denials

Reverse technical denials with targeted corrections.

Motor Vehicle Accidents (MVA)

Expedite MVA claim reimbursement.

Workers Comp

Reverse denials and recover Workers' Comp claims.

Veterans Administration (VA) Claims

Recover VA claim reimbursements.

Covid Recovery

Recover unpaid and aged COVID-era claims.

Medicare–Medicaid Reimbursements

Maximize Medicare/Medicaid and MA reimbursements.