We are experts in insurance contract issues and Insurers know we have the ability to successfully litigate if they fail to cooperate. Since we have successfully recovered/litigated against almost every health insurance company on numerous occasions and have established ourselves as experts in these matters, we have developed an entire network of contacts. This enables us to bypass standard levels of review and deal directly with individuals who can quickly resolve pending issues and expedite payment of your insurance claim.

Having reviewed countless managed care agreements, our professional staff of attorneys and insurance experts who know what information is necessary in order to refute denials or underpayments from payers. Whatever the issue, we have the knowledge and experience to pinpoint the problem, dissect the issue and determine the course of action that would be most favorable to our client. We have successfully recovered/litigated from numerous insurance carriers, including but not limited, to Managed care (HMO’s, PPO’s, TPA’s, ERISA, COBRA, Medicare and Medicaid), Worker’s Compensation and Third Party Liability (Auto, Premise, Manufacturer, Security Negligence, Maritime, Travel). Our elite staff is continually trained on changes to the law and provided updates to our client’s contracts. We are meticulous in searching for insurance billing information and can rapidly assess potential recovery from any third party source.

Accordingly, due to our high rate of success and our reputation within the insurance industry, carriers are reluctant to engage in litigation and our clients receive the benefit of all our past work, our knowledge and our expertise for each claim we pursue on their behalf.

In cases where a patient has died or an estate has been opened, it is very important to ensure that the hospital’s rights have been protected. The laws are very technical and failure to comply can cause you to lose any chance of payment. If claims are not filed within the time prescribed, the claim will be denied as a matter of law.

Furthermore, we continue to seek other means of recoveries for our clients’ claim. Many times there is possible third party insurance coverage that may not have been discovered or pursued due to the death of the patient.

Our Attorneys deal directly with the personal injury attorney to ensure the largest settlement offer is obtained and payment is made to the hospital. As attorneys, we are able to ensure that the hospital’s rights are protected by monitoring and inserting ourselves in the legal process.

• Additionally, we are able to lend our legal expertise to the personal injury attorney in their cases against third parties. In order to protect the hospital, it is imperative that lien cases be worked by highly trained and qualified people who have experience dealing with attorneys. Failure to do so can cost the hospital its recovery. In some instances, specific legal actions have to be initiated to compel payment from the patient’s attorney and/or liability carrier.

We have achieved positive results recovering from foreign government payers such as Canada’s Regie Assurance Maladie, Israel’s CLAL, the Turks & Caicos Ministry of Health, Bahamas BPSU and the US Virgin Islands, and we have partnered with OVAG to solidify our position amongst the elite in foreign recovery.

Where hospitals staff has determined that a patient, responsible party or third party is refusing pay or cooperate and has the resources to pay the bill, it is the hospitals interest to avoid delay and transfer the account directly to us instead of wasting time at a collection agency.

We provide a special opportunity to our clients in that we can handle any accounts that requires legal action. This compares to a collection agency, which must refer the account to an outside attorney with the probability that control is lost by the agency and the hospital. Each legal account is handled in-house by our attorneys, who work together with our staff to create a Litigation Department that is second to none.

Judgments are more than just a piece of paper and unless a judgment is properly worked, a judgment creditor is not protecting and enforcing its legal rights created when obtaining the judgment. If the Judgment is not actively and properly worked by a law firm experienced in executing on a judgment, opportunities to recover monies can be lost, possibly forever. Utilizing a firm that specializes in post judgment remedies is vital. Diligent follow-up, investigation and expertise are necessary to actually collect monies on a judgment. In this weak economic environment it takes every available tool to maximize recovery. Our firm possesses the experience, knowledge and skills to properly enforce a judgment creditor’s rights.