Services & Fees
ERISA & FEHBA Lien Resolution
Medicare Advantage Lien Resolution
Medicare Advantage Lien Resolution
$500 Min. Fee & 15% of Savings
Subrogation and reimbursement demands from employer sponsored group health insurance plans (ERISA & FEHBA) can cause serious difficulties for trial attorneys, often delaying or completely disrupting settlement of the underlying action. Dave Place, Founder of The Place Firm, has resolved thousands of these claims both on behalf of ERISA & FEHBA plans, and for the past decade exclusively on behalf of injury victims. The Place Firm will ensure that all relevant case law, statutory requirements and regulatory guidelines are employed to obtain the largest reduction possible of repayment demands being made by these plans.
Medicare Advantage Lien Resolution
Medicare Advantage Lien Resolution
Medicare Advantage Lien Resolution
$500 Min. Fee & 15% of Savings
Medicare Advantage Organized plans (Parts C & D) have similar recovery rights as traditional Medicare (Parts A & B) but have become increasing aggressive in their recovery efforts. Utilizing part of the Medicare Secondary Payer Act, these plans are refusing to honor required reductions and even pursuing trial counsel directly for double damages. The Place Firm will assist in reaching final resolution of these matters in a manner protecting both the injury victim and trial counsel from this exposure.
Medicare Conditional Payment Resolution
Medicare Conditional Payment Resolution
Medicare Conditional Payment Resolution
$500 Flat Fee
Representation by The Place Firm will ensure compliance with all aspects of the Medicare Conditional Payment repayment process. We will conduct an expert audit of the Conditional Payment claim summaries, applying all relevant law, regulations, as well as BCRC and CMS policies to remove unrelated or inappropriate claims from Medicare's repayment demand. We will assist your firm in obtaining a final repayment amount from Medicare before mediation, and when ready we will obtain the Final Demand.
ERISA Plan Review
Medicare Conditional Payment Resolution
Medicare Conditional Payment Resolution
ERISA Plan Review - $100 Flat Fee
The Place Firm will review the submitted SPD (Summary Plan Description) , MPD (Master Plan Document) and other ERISA plan documentation to evaluate the strength of the plan's subrogation or reimbursement rights. This review will also provide language/case specific resolution tactics for the trial attorney to explore.
ERISA Plan Review & Memo of Law - $500 Minimum fee (2 hours) - $150/hour thereafter
The Place Firm Founder, Dave Place, Esq., will personally review the submitted SPD (Summary Plan Description) , MPD (Master Plan Document) and other ERISA plan documents to evaluate the strength of the plan's subrogation or reimbursement rights. Should it determined that additionally documentation is need The Place Firm will make a statutory demand under 29 U.S.C. §1024(b)(4) for the production of required documents under threat of penalty for non-compliance. This ERISA Plan Review will include an expert analysis of the plan language and citation to controlling case law.