Motor Vehicle Accident Claims
Motor Vehicle Accident Claims
Sorting through a multitude of payers, attorneys, timely filing deadlines, and confusing CMS guidelines, Kemberton focuses on insurance discovery and coordination of benefits to maximize reimbursement on time-sensitive and complicated MVA claims. As advocates for both patients and providers, we employ dedicated teams of lawyers, paralegals, and MVA experts that are committed to thorough resolution every step of the way.
With third-party coverage identified in up to 70% of cases, patients incur materially less costs
Challenges Kemberton Solves
- Navigating complex state-by-state regulations, fee schedules, and policy limits
- Identifying all potential third-party payer opportunities giving higher reimbursement rates compared to Medicaid, Medicare, and most commercial payers
- Managing the complex coordination of benefits across both health and non-health payers
Our MVA Claims Process
Step 1 – Identify MVA Claims
Leverage diagnosis codes to identify claims and receive 837 feeds from providers and clearinghouse partners.
Step 2 – Coordinate Health Benefits
Coordinate health insurance benefits in a timely manner—and within CMS guidelines.
Step 3 – File Third-party Liens
Follow up with third-party insurance and attorneys and file appropriate liens to ensure our client’s bill is included in the settlement.
Step 4 – Report
Report to client’s specifications; provide access to Kemberton’s system to provide transparency.
Our Results
Here are typical results realized by clients who outsource their motor vehicle accident claims to Kemberton: