Third Party Liability Insurance

ACEP Insurance Programs endorses a new crucial program for ACEP Physician Groups: Third Party Liability administered through Hagan Benefits Inc.

Third Party Liability (TPL) refers to the legal obligation of third parties, i.e., certain individuals, entities, or programs, to pay all or part of the expenditures for medical assistance furnished under a State plan. The Medicaid program by law is intended to be the payer of last resort; that is, all other available third party resources must meet their legal obligation to pay claims before the Medicaid program pays for the care of an individual eligible for Medicaid.

Emergency physicians are treating the most trauma cases with medical claims that on a national average are only being reimbursed 21% from uninsured third party liability claims. Did you know:

1 in every 7 auto accidents involves an uninsured motorist.
Roughly 2% of hospitalsâ€™ total revenues involve an uninsured third party liability.
Lien law recovery is under 20% of total charges.
This system recovers roughly 92% of total charges in fewer than 45 days.

It is crucial for your group to implement this system if you want a program that:

Increases revenue
Could be implemented immediately with no start-up costs
Increases turnaround for filing Medicare and Medicaid claims
Uses strong technology infrastructure
Assists with and documents compliance with "Payor of Last Resort;" regulations

This unique and imperative service that significantly increases a higher recovery rate in third-party trauma cases.

We have developed a system for helping groups like yours work with uninsured patients. Our clients own the patientâ€™s claim for damages against a third party who is responsible for the patientâ€™s injuries up to the amount of the hospital bill.

This allows us to deal directly with the insurance carrier for the responsible party, allowing your group to avoid the long delay frequently associated with negotiation, litigation and lien processes in claims settlements.

Our focus is on Self-Pay, Medicare and Medicaid eligible patients that are involved in accidents where a third-party may be liable for the bill, and where compliance with the "Payor of Last Resort" regulations mandate that hospitals make an effort to obtain these funds.

Michael Hagan
Third Party Liability Specialist
800-456-0737
mphagan@hagangroup.com

Contact us today and let us help your group double or even triple the net revenue you may get for these accounts.

Michael Hagan
Third Party Liability Specialist
mphagan@hagangroup.com
800-456-0737