Balances in Litigation

Purpose

To ensure the proper process is followed when reviewing Motor Vehicle Accident, Workers Compensation, or Letter of Protection balances and confirming they are part of a litigated case.

Policy

When a claim is identified as being in litigation, the A/R representative will transfer the full balance to Patient Responsibility 90 days after the date-of-service.

Once the balance has been transferred, it becomes the clinic’s responsibility to follow up to ensure payment is received when the case is settled.

Definitions

Letter of Protection (LOP)

A LOP is a document that is sent to the medical provider by an injured party’s attorney. It states that the injured person agrees to pay all medical expenses owed out of any future money recovered by a settlement or trial judgment. If no money is recovered from the case, the patient is responsible for payment of the balance for services rendered.

Litigation

Litigation refers to the process of resolving disputes by filing or answering a complaint through the public court system.

Motor Vehicle Accident (MVA)

MVA refers to when a vehicle hits a person, an object, or another vehicle, causing injury or damage.

Workers' Compensation

Workers’ Compensation is a form of insurance providing wage replacement and medical benefits to employees injured during the course of employment.

Why

To ensure that the patient is aware of the pending balance/outstanding liability.

 

Clinicient (the “Company”) is providing this information for general guidance. The application, impact and change of laws can vary widely. Accordingly, the information is provided with the understanding that it is not offered as legal or any other professional advice or services and as such should not be used as a substitute for consultation with professional and licensed advisers. While we have made every attempt to ensure that the information contained herein is accurate at the published time, the Company is not responsible for any errors or omissions, or for the results obtained from the use of this information. All information is provided "as is," with no guarantee of completeness, accuracy, timeliness or of the results obtained from the use of this information, and without warranty of any kind, express or implied, including, but not limited to warranties of performance and fitness for a particular purpose. In no event will the Company or its subsidiaries, agents or employees thereof be liable to you or anyone else for any decision made or action taken in reliance on the information.

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