Synergy Blog

Lien Resolution Success Story – Synergy uses Virginia’s anti-subro statute to reduce FEHBA repayment by 58% for a savings of $96,761.84

Synergy uses Virginia’s anti-subro statute to reduce FEHBA repayment by 58% for a savings of $96,761.84

This case involved a federal employee who suffered major injuries as a result of medical malpractice. The plaintiff engaged a renowned Virginia trial attorney and eventually secured a settlement of $900,000. The plaintiff’s medical benefits were provided under a Federal Employee Health Benefit Act (FEHBA) Plan and that Plan, through its recovery agent Optum, demanded 100% repayment of the malpractice related medical benefits they had provided. Through the FEHBA Plan, Optum relied on federal preemption of Virginia’s anti-subrogation statute as the basis for their unreasonable demand. Confronting this situation plaintiffs’ counsel engaged Synergy to assist in the resolution of this matter. Within a week Synergy had countered Optum’s assertion of preemption, advised them of the possibility of Virginia’s anti-subrogation statute as a complete bar to their claim, and obtained a reduction of 58% for a savings of $96,761.84.

 

 

TESTIMONIALS

"I was smart enough to hire Synergy Lien Resolution Services. Kudos to Synergy for tracking down ALL the medical bills, hounded Medicaid to pay them all, got all providers to state zero balances and then negotiated Medicaid down to accept $30K [down from 200k] to wipe out all of the medical bills."

Marianne Howanitz, Esq
Marianne Howanitz Law Offices

"Coincidentally, on the day of a recent Synergy Seminar on Medicare & ERISA lien resolution I received a letter on an ERISA lien. This letter followed much back and forth between myself and the recovery vendor for BCBS. Despite my efforts they were adamant there would be no (zero)(zilch)(nada) reduction and provided case law to support their position. I tried Synergy’s Lien Resolution Services since I had just heard their Director of Lien Resolution speak. Synergy got them to reduce their claim by a third in less than ten (10) days. The result was quick and the fee very reasonable. If you have a tough ERISA lien and your typical efforts don’t work, give Synergy a try."

Michael S. Smith, Esq.
Lesser, Lesser, Landy & Smith, PLLC

WordPress Image Lightbox