THIRD-PARTY LIABILITY/AUTOMOBILE ACCIDENT CASES
A Hospital's Challenge
- These accounts are some of the most labor-intensive accounts, requiring constant and time-sensitive communication with attorneys, insurance carriers, law enforcement agencies, and patients.
- Specialized knowledge of insurance coverage, tort laws, hospital lien and assignment laws is needed to maximize collections on these type of accounts.
- Since many patients injured in automobile accidents retain their own personal attorney to protect their interests, a healthcare provider should have a qualified partner protecting its interest in making sure its bills are paid out of any settlement or court award.
Our Revenue Solution
- We investigate accounts arising from third party injuries (including automobile accidents), and determine the amount and availability of insurance including whether there is coverage under Personal Injury Protection (PIP), Medical Payment (Med-Pay) coverage, Uninsured/Underinsured(UM/UIM), or a liability policy.
- We evaluate each case to determine whether it is more advantageous for the healthcare provider to pursue the auto insurance carrier or an alternative payor source. Since automobile insurance should be paying based billed charges, it is often more advantageous to pursue this insurance rather than a reduced payment from another source.
- All of the accounts are worked by our attorney-supervised and trained staff, insuring that hospital liens are filed and that assignment of benefits are reported and protected by the appropriate insurance carrier.