For many years, health insurers and healthcare providers have suspected that automobile insurance carriers have systematically avoided payment despite coordination of benefits laws. As a result, despite best efforts of payment integrity and COB teams, including using TPL/Subrogation services, the most diligent health plans and healthcare providers find only find approximately 78% of TPL involving motor vehicle accidents.
TPL Claims, LLC has been addressing these unfortunate issues since 2011, working with healthcare providers and health insurance companies to discover payments made in error and recover unpaid automobile insurance liability for medical services related to auto accidents. TPL Claims, LLC now leverages over a decade of accumulated experience, knowledge, and proprietary processes as TPL Claims Detective™.
The important news is that TPL Claims Detective™ help you solve the problem that you didn’t know you have by finding the 22% of missed TPL cases that others cannot find, even after they have completed their research!
TPL Claims Detective performs better than others by supplementing third-party liability discovery processes with additional, proprietary data sources. TPL Claims Detective also uses intelligent filtering, forensic matching, and clinical algorithms to discover more cases across all data sources.
Using its proprietary logic and processes, TPL Claims Detective has already identified over $400,000,000 and recovered over $100,000,000 in payments avoided by auto insurers and paid in error by health insurers.