Many offices I have spoken with have encountered reductions to their reimbursements on no-fault charges for being in a “preferred provider organization” or PPO.
Their usual experience is that they do not feel very “preferred”.
Some of the common company names associated with those organizations are MagnaCare and/or Coventry.
One of the first steps we can take is to recover old denied funds.
After recovering what you have already earned, we can then work to stop the reductions from recurring in the future.
The Morris Law Firm is experienced and ready to argue for your office to get you back the difference between what was paid and what was owed.
In all of the cases that The Morris Law Firm has encountered so far there is a consistent issue preventing the insurance company from winning the cases and keeping the reduced portion of the claim.
Those cases are when the document is more than a year old.
The Morris Law Firm is able to get consistent outcomes when we arbitrate for the difference between what was paid per the PPO contract, and what is owed under the applicable fee schedule for New York No-Fault charges. If your office is experiencing reduced payments due to a PPO contract, and you believe that your office should not be experiencing that reduction, please contact me immediately.