This is a case wherein the Medicare beneficiary was catastrophically injured in a Seattle, Washington motor vehicle accident. The beneficiary hired counsel and was able to obtain $1,000,000 in settlement funds. The settlement funds came via two separate settlements and when the first settlement was reported by the carrier to CMS problems began. Plaintiff’s counsel attempted to resolve the confusion even going so far as to request a compromise from CMS. The request was denied and the incorrect Final Demand remained.
At this point counsel engaged Synergy to assist. With our knowledge of the process, the Medicare Secondary Payer Act and the Medicare Secondary Payer Manual, Synergy was able to contact the Regional Director in Seattle Washington, quickly correct the errors, and have a new and accurate Final Demand issued for a savings of over $33,000.