What steps are taken if you have Medicare?
First, we send immediate notification to Medicare. CBR&C (Coordination of Benefits and Recovery) receives our notification and opens a claim and a file.
After receiving notice of your claim, Medicare then issues a Rights and Responsibilities letter. Medicare then has sixty-five (65) days to issue a Conditional Payments Letter, which will list all medical expenses Medicare has determined to be related to your injuries.
If unrelated treatment is included in the Conditional Payments Letter then we can dispute them at this stage. We will correspond with Medicare and request that unrelated bills be removed from Medicare’s clam for reimbursement. We will review this with you so that we can determine the correct amount of Medicare’s lien. This can be a very difficult and time consuming process, but it is beneficial to you in your case. Updated Conditional Payment Letters can be requested by mail or online over the duration of the case.