Peace-of-Mind for TPAs, Employers, and Injured Individuals
1. Exhaustion of Auto Insurance Remedies … Including Third-Party Liability Coverages
Wherever possible, our providers and their staff attempt to verify all applicable automobile insurance coverages – including third-party liability payers – and to work with the various parties to determine primary and/or reasonably-viable sources of financial responsibility. Our providers make every appropriate effort to exhaust such sources before balance billing any other sources of payment under law or contract, assuming balance billing is permitted.
2. Reduction of Need for Subrogation and Recoupment
Every year, the health insurance industry expends significant time, money and energy attempting to recover duplicate payments and/or overpayments in accident injury scenarios – costs which can be reduced or avoided through cooperative efforts. Our providers aim to be part of this industry solution.
3. Compliance with Balance Billing Terms and Protocols
We aim to work closely with third-party administrators and other appropriate parties to establish and foster compliance with appropriate balance billing terms and protocols.
4. Commitment to Clinic-Level Systemization, Training, and A/R Management
In mid-2018, we committed to custom-developing a world-class infrastructure for more effectively managing accident injury accounts at the clinic level. This system will play an important role in the delivery of clinic-level systemization, training, and A/R management services wherever our providers are located.
5. Assisting Patients in Navigating the Complexities of Accident Cases
The simple reality is – no one enjoys getting into an accident such as an auto accident. Accidents can be extraordinarily disruptive. They can and often do result in injuries (in some cases, debilitating injuries), lost work, lost services and opportunities, damage to one’s vehicle, etc. And then on top of that, you have the complexities of dealing with the resulting bills and insurance claims. Working together with our providers, we are sensitive to these facts and aim to help our injured patients – your members and insureds – more easily cope with and navigate the process to the extent we are reasonably and legitimately able.
6. Assisting Patients, Both Represented and Unrepresented
Not all patients who have been injured in an accident choose to retain an attorney. Each may have his or her own personal reasons for choosing whether or not to retain an attorney. Our position is that the choice whether or not to retain an attorney should rest with the patient. In most cases, our providers and staff can provide care under the agreed-upon terms irrespective of whether the patient – your member or insured – elects to retain an attorney or not.
To learn more about our company, our partnerships and our innovative solutions, please review our website or contact us today.