OPL seeks to have the party ultimately responsible pay the claim. It is our mission to correct the excessive dumping of medical claims on health plans when there are other primary responsible payers. Just because a claim is payable under the health plan does not mean it should be paid, or remain paid. There are many situations where other insurers have insured specific risks i.e. Workers comp, Auto, Property, Premises liability, etc. who are obligated to pay primary to Health, but as these insurers do not issue insurance cards, or have complicated claims processes, providers bill health plans.
Services
Other Party Liability Inc., in conjunction with Laffey & Associates P.C, Provides Health Care Claim Data Mining, Coordination of Benefit services, Claim audit services, Subrogation recovery services, Plan Language drafting as well as litigation and legal subrogation services for employers Third Party Administrators and Health insurance companies.
OPL provides many services to employer benefit plans in conjunction with claim recoveries. Our experience in the industry has showed us that no matter how large or small the employer group, a comprehensive program of revenue enhancement and plan benefit enforcement must be implemented to effectively maximize returns.
Subrogation is a common law and a contractual doctrine that was first established in English common law. Subrogation is the legal process by which one who has paid benefits, by virtue of that payment "steps into the shoes of the person or entity for whom benefits have been paid" and assumes the beneficiary's cause of action or right as against the person or entity that caused the loss.
Other Party Liability Inc. has detailed knowledge, and over 20 years of experience, performing subrogation services while navigating ERISA and state specific subrogation law. Since OPL lawyers work on behalf of insurance companies and employers throughout the country, they are well versed in state-specific laws that affect recovery actions.
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