Synergy Medicare Conditional Payment Services | |
| Medicare Audit & Verification* | Tier 1 - MSA Consultation, Waiver & Acknowledgement |
| Service includes the audit and verification of conditional payments for cases that originate from a specific personal injury incident. The process includes reporting to the Centers for Medicare and Medicaid Services, audit and dispute of Conditional Payment Summaries, request for Final Demand, and 1st & 2nd level administrative appeals. | 15% of Savings $500.00 Minimum Fee* |
| Medicare Waiver & Compromise | Medicare Waiver & Compromise |
| Process includes the post-Final Demand application for a compromise or waiver to both the Benefits Coordination and Recovery Center (BCRC) as well as the Centers for Medicare and Medicaid Services (CMS) and negotiation through final resolution. | 15% of Savings |
Synergy Lien Resolution Services | Synergy Medicare Conditional Payment Services |
| Resolution of Medicaid Liens | Resolution of Medicaid Liens |
| Process includes the reporting to the appropriate state agency, bill auditing for unrelated care and full resolution of liens. | 15% of Savings $500.00 Minimum Fee* |
| Resolution of Private Health Insurance Liens & ERISA Plans | “No MSA”/MSA Evaluation Letter |
| Process includes the reporting, bill auditing for unrelated care and full resolution of liens for: ERISA, FEHBA, Private, DIsability, Medicare Advantage, and Supplemental insurance plans. | 15% of Savings $500.00 Minimum Fee* |
| Resolution of Military Health Benefit Plan Liens | Resolution of Military Health Benefit Plan Liens |
| Process includes the reporting of possible liability to the Department of Veterans Affairs (VA) and/or TRICARE, TRICARE for Life, bill auditing for unrelated care, application for waivers/reductions and full resolution of liens. | 15% of Savings $500.00 Minimum Fee* |
| Resolution of Provider & Hospital Liens | Resolution of Provider & Hospital Liens |
| Process includes bill auditing for unrelated care and full resolution of the claim through negotiation/compromise until resolution. | 15% of Savings $500.00 Minimum Fee* |
| *Minimum Fee due at time of intake **Minimum Part D RX minimum fee $250 Synergy Settlement Services fee will never exceed 15% of the plaintiff's net recovery. If litigation is needed, the pricing above is inapplicable and services will not be provided by Synergy. Synergy Settlement Services is not a law firm. | *Minimum Fee due at time of intake **Minimum Part D RX minimum fee $250 If litigation is needed, the pricing above is inapplicable and services will not be provided by Synergy. Synergy Settlement Services is not a law firm. |
