Academy of Chiropractic
Quickie Consult 1272
Office Systems - Getting Paid 130 OS
Preamble: Many of the issues I bring to you are very small, yet each issue is just that, an issue. If you take care of the small issues, then you will be able to build and more importantly, focus on the bigger issues...a larger practice and more family time. -Mark Studin 2006
“Third-Party Settlement Offers”
AKA "The Latest Carrier Money-Grab"
“Look in” Mark Studin 2020
An increasing trend is carriers outsourcing settlements to third-party companies. This Is not new, but the trend is on the rise, and you have to be prepared. One company is ClaimTech, and Liberty Mutual utilizes their services. This is typically used where there is no lawyer involved, and they are mimicking the lawyer's action of offering close to 50% of your bill.
The reason they take this action is they watch patterns of doctors willing to take 50% off their bill in settlement offers with lawyers and encourages them to do the same. There is no other reason other than a "tried and proven money grab." The company has this down well. They give you a short window to accept their offer, and artificially create a sense of urgency.
Your reply is ALWAYS NO.
Your fee must be paid at 100%, and if they refuse, go to small claims court to enforce the Med-Pay provision of the policy. You always have the right to have the patient pay the difference, but here the carriers have a contractual obligation to pay your fees. This is also where you have to ensure your fees are "legally-defensible" by using a published set of fees as I have recommended for years.