Synergy Blog

Synergy out flanks Rawlings and reduces self-funded ERISA claim by 50%

This case involved a self-funded ERISA plan participant who was injured in a motor vehicle accident.  The plaintiff was injured when the  car in which he was riding was rear-ended by the tortfeasor.  The plaintiff incurred significant injuries which resulted in a healthcare subrogation claim, in the amount of $26,669.18, being asserted by the self-funded ERISA plan.  The plaintiff’s attorney engaged Synergy Lien Resolution Services to resolve the subrogation/reimbursement claim that was being prosecuted by The Rawlings Company on behalf of Aetna and the employer group.  Rawlings is a third party recovery vendor for Aetna, but despite this status they attempted to avoid dealing directly with Synergy by advising plaintiff’s counsel that they “limited communication” with  lien resolution groups and offered a nominal reduction.  Wise plaintiff’s counsel did not fall for this ruse.  Synergy then negotiated directly with the Plan Administrator and within three (3) weeks had secured a reduction of 50% from Plan Administrator. This was a savings of $13,334.59 to the injured plaintiff.

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“Synergy is our guiding light for deferring our contingent legal fees and planning for retirement. The lawyers at Panter Panter & Sampedro, myself included, have been working with them for over ten years using different methods to defer comp and plan for retirement.”

Brett Panter
Panter, Panter & Sampedro

"I don't think I've directly said "thank you" for helping us with Bridgett’s case. We sent the reduced payment to Medicaid and called Bridgett's mom to tell her approximately how much money was going to be left for Bridgett and she broke down over the telephone. Given only $25k of insurance and a $850k medical bill from the hospital she didn't think Bridgett would ever see a penny."

Tom L. Copeland
Jeffrey Meldon & Associates, P.A.

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