Lien Resolution
Healthcare liens and government reimbursement claims represent some of the most challenging aspects of mass tort and class action settlements. A single case might involve Medicare conditional payments, state Medicaid recovery claims, and private insurance subrogation, each governed by different laws, negotiated with different entities, and resolved on different timelines. Now multiply that across 500 or 5,000 claimants. This is the work we have mastered over forty years of combined experience.
We have been appointed lien resolution administrator in major national settlements, resolving hundreds of thousands of subrogation claims while achieving substantial reductions that directly increase claimants’ net proceeds. We do not just process liens – we understand how lien resolution integrates with every other aspect of mass tort and class action settlement administration, ensuring resolutions align with distribution timelines.
Compliance Analysis
Every settlement carries unique compliance obligations across federal and state laws and private insurance agreements. We work with you to provide clear guidance on all subrogation requirements your claimants and/or settlement must satisfy. In doing so, we conduct comprehensive analysis evaluating Medicare Secondary Payer obligations, Medicaid recovery statues, state-specific subrogation laws, and ERISA plan rights to create a complete compliance roadmap. Our experience and foresight prevent costly oversights that could delay distribution or expose claimants to future liability.
Verification & Resolution
In mass tort and class action settlements involving hundreds or thousands of claimants, law firms do not always have complete visibility into each claimant’s insurance coverage during the time of their injury through treatment. Therefore, high volume settlements require verification of entitlement to determine coverage. Depending on the data points provided, we can verify certain entitlement for settling claimants, uncovering reimbursement obligations that may otherwise surface as costly surprises during distribution.
We resolve all healthcare lien types, including Medicare, Medicaid, Private, Tricare, VA, FEHBA and more. By engaging our established agency relationships, we pursue the resolution strategy that best serves the particulars of the settlement. For traditional resolution, we negotiate lien by lien reductions that maximize individual recoveries. For global resolution, we negotiate comprehensive agreements with lienholders that resolve obligations across your entire entitled population, which dramatically streamlines the process. Our priority is removing the last barrier to distribution by achieving full subrogation compliance without unnecessary delay.
MMSEA Coordination
Medicare Secondary Payer compliance and Medicare, Medicaid, and SCHIP Extension Act (MMSEA) reporting demands precise coordination between multiple channels and parties to avoid triggering conflicting Medicare records. We manage the MSP recovery process while working with the Responsible Reporting Entities who manage the MMSEA Section 111 reporting. This coordination is critical. If MSP and MMSEA data does not align and timing is not considered, conflicting information can result in claimants receiving inconsistent conditional payment demands, even after distribution. Our expertise in coordinating the various Medicare obligations ensures final resolution of Medicare obligations.