P.A.I.D. Program
Preparation
Action
Innovation
Diligence
HMO Claims Management
PIP Claims Management |
I. GIR's revolutionary PAID program
Is a multi-prong approach aimed at maximizing your recovery against Insurers by implementing interactive consulations that assists clients in the preparation, organization of files and all pertinent documentation necessary to maximize recovery. G.I.R. takes immediate action by engaging the Insurer after incisive, thorough analysis of the claim. Utilizing innovative yet proven legal strategies in order to streamline the recovery process, GIR diligently pursues and prosecutes its client's claims through timely demands and/or placement for litigation with skilled, experienced trial attorneys.
II. HMO 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 favorable 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.
III.Personal Injury Protection Claims Management
As a client of GIR, your will have continuous guidance as to the almost daily changes, by way of new case law, which affects 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 is 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 assingment 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.
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