Phase 1: Zero-Tolerance Vetting & Legal Review
We audit your outstanding claims file to isolate high-value, legally recoverable debt. This begins by cross-referencing WC claim codes and denial reasons against current state statutes and fee schedules. Any claim flagged as non-actionable—due to non-compensability or expired appeal deadlines—is immediately quarantined. Our output is a clean inventory of legally defensible claims, ready for aggressive pursuit.
Phase 2: Formal Dispute & Carrier Accountability
MSB initiates formal dispute protocols within 24 hours of placement. Our team functions as your legal claims advocate, submitting precise documentation and an explicit demand for full payment based on state-mandated fee schedules. Our correspondence utilizes certified channels and carrier portals, ensuring strict adherence to regulatory deadlines. We challenge improper denials by citing specific statutes, forcing carriers and TPAs to meet their financial obligations.
Phase 3: Financial Settlement & Capital Recapture
We quickly translate contested claims into usable cash flow. We finalize resolutions through structured settlement agreements, managing complex large deductibles and ensuring the final transfer is expedited. Recovered funds are instantly routed via secure conduits back to your accounting system. Comprehensive remittance statements detail the legal basis for the recovery and the specific denial codes overturned, ensuring total transparency.
Phase 4: Full Regulatory & Audit Fortress
All client and claim data is protected in an encrypted environment with strict access controls, conforming to every relevant state WC administrative code and federal FDCPA standard. Our specialists are mandated to complete continuous certification on all evolving WC and lien filing laws. This process ensures that every step taken is time-stamped, recorded, and legally unassailable, building an essential audit fortress around your revenue.
Phase 5: Financial Certainty & Strategic Partnership
Our ultimate goal is not just collection, but revenue protection. We provide your billing staff with secure access to view claim statuses and track payment milestones, turning complexity into control. By utilizing legally defensible action to maximize every recovery, MSB becomes a critical strategic partner in safeguarding your organization’s financial strength within the challenging WC ecosystem.