Personal Injury Protection Claims Management

As a client of GIR, you will have continuous guidance as to the almost daily changes, by way of new case law, which affect the way your clinic processes and submits its medical bills to insurers.
This guidance process will be implemented through seminars and on-site personal consultations.

Our experienced personnel are dedicated to the implementation of procedures when medical bills are sent and the recovery of PIP benefits for Medical Providers with outstanding accounts receivables.
Our unique style includes transferring the assignment of benefits from the medical provider to GIR.

This transfer gives our company the legal rights to recover the benefits expeditiously, as well as allowing your staff to dedicate their time to the business of healing.

Health Management Organization Claims Management

HMO Collections Program- Gables Insurance Recovery uses contractual, regulatory and well settled legal principles in order to secure payment for outstanding medical account receivables from Health Maintenance Organizations.

Too often, HMO's will arbitrarily decide to delay, reduce or deny payment to in service and out of service providers. GIR examines the contractual responsibilities imposed by the applicable agreements and maximizes the potential for recovery by aggressive pursuit of your money.

In the event that legal action is necessary, GIR is aware of the regulatory provisions and legal strategy necessary to most favorably attempt to achieve success in its collection efforts.
GIR is also aware of recent legal rulings that afford health care providers direct standing against the HMOs in breach of contract lawsuits.
These changes in the law provide yet another avenue of recovery when the carriers attempt to circumvent their responsibility by hiding behind the seemingly endless bureaucracy contained in the HMO contract.

Let GIR help you sort these matters out with a well rounded, informed and aggressive approach.