Workers Comp Collection Services & Follow-Up

WC recovery is an administrative and legal process focused on the payer (the insurance carrier or employer), not the patient. Our strategy centers on navigating state-specific statutes, filing deadlines, and complex fee schedule disputes rather than consumer debt collection.

MSB specializes in the full spectrum of under-reimbursed claims. This includes claims that are outright denied, underpaid based on the state's fee schedule, or subjected to carrier payment delays.

In addition to provider fees, we pursue recovery for other WC-related debt, including premium audit shortfalls, subrogation claims against negligent third parties, overpayments made by carriers, and high-deductible/self-insured employer retentions.

Our process involves specialized claims advocacy and analysis. We use technology to compare the carrier's payment against the specific jurisdictional fee schedule and statutory payment rules, filing formal appeals or disputes where underpayment is identified.

Yes. We offer support for the preparation and management of necessary legal filings, such as administrative fee disputes, formal state board appeals, and the filing of liens as required by specific state Workers' Compensation systems.

We manage claim data under strict security protocols and adhere to all relevant state-specific WC statutes and FDCPA guidelines. Our workflow focuses on the financial relationship between the provider and the carrier/employer, minimizing interaction with the injured worker regarding the debt.

Due to the regulatory nature of WC claims, the timeline is often dictated by state-mandated appeal and adjudication processes. However, our streamlined advocacy and rapid filing process aim to generate measurable results and movement faster than internal provider efforts.

We require the original billing details, the specific denial or rejection code from the payer (carrier/TPA), and the claim number and date of injury. This allows us to quickly assess the claim's legal viability and jurisdictional context.