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How Prompt Pay Can Help Your Practice

For years, Health Insurance Companies have been slow paying and/or underpaying properly submitted medical claims.

In light of recent court rulings a law known as the Texas Prompt Pay Act, could level the playing field for your medical practice, pharmacy or hospital.

Back in 2003 the Texas Legislature passed laws to empower Health Care Providers in their efforts to force health insurance companies to timely pay claims. This legislature was called the Prompt Pay Act, which set forth new State Laws requiring health insurance companies to pay penalties, interest, and attorneys fees when they pay submitted claims late or underpay them.

From 2003 thru this past year, the health insurance companies attempted thru several court battles to dilute or cancel the effect of the Prompt Pay Laws with several different points of protracted litigation. However, recent court rulings have come down in the doctors and medical providers favor.

If your practice has been paid late by a health insurance company, call us and learn more about the Texas Prompt Pay Laws. The call to us is free. The consultation is free. And if you decide to retain our Firm we will not ask for upfront fees or expenses; we will represent you on a contingent fee basis, so there are no fees or expenses until we win your claim for late fees and the monies are recovered from the health insurance company.

The steps to get started:

Step One – In-Person Meeting

We will come to you and go over any and all questions and concerns, This meeting is fee and your organization have no obligation to retain the Firm. If you decided to proceed, then we will get started.

Step Two - Analyze

Our team will meet with your billing and collection personnel or billing service, this initial meeting will take less than three or four hours and we will begin the running of 835 and 837 reports over the last four years of your insurance claim history (the maximum time length allowed by law). This software is completely HIPPA compliant computer software designed to inspect each individual claim and determine if it was late paid or underpaid and if late paid how much how much is owed the provider, as per the Texas Prompt Pay Act.

Step Three – Legal Process

Once your claims analysis is complete, we contact the insurance companies on your behalf and enter into a negotiation or arbitration process to help get you the maximum compensation you may be allowed by law. At the end of this process, we will present you with a proposed final settlement with the insurance companies for your consideration, and upon approval, collect on your behalf. Our law firm performs this process on a contingent fee basis, so there are no upfront fees and no expenses to your organization unless you recover.

For more information call Attorney Paul Sadler with the Carabin Shaw Law Firm at 800-862-1260.

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