Synergy Blog

Lien Resolution Success Story – Synergy’s Medicare Post Final Demand Service secures full refund of $36,400 for injured plaintiff

This case involved a Medicare beneficiary who was injured as a result of medical malpractice. When the plaintiff’s attorney settled the personal injury action, Medicare presented a Final Demand of approximately $36,400. The plaintiff’s attorney paid the Final Demand to avoid interest and then attempted to reduce this amount via a first level appeal (Redetermination) but was unsuccessful. 

Synergy Lien Resolution Services was engaged, and we prepared the second level appeal (Reconsideration) using our intimate knowledge of both the Medicare Secondary Payer Act, and our unrivaled experience with the Medicare appeals process. Maximus, Medicare’s Appeals contractor, agreed with Synergy, removed all claims and issued a refund to the beneficiary in the amount $36,400.


I wanted to pass my highest recommendation to Synergy who we routinely get involved in cases when Medicare issues come up, especially when dealing with Medicare Set Asides. Synergy went beyond the call of duty in a recent case that was settled and dealt one-on-one with our clients and their family. They spent time on the phone with them to be sure they got all their questions answered and did a fantastic job dealing with Medicare.

J. Daniel Clark
Clark Martino, P.A.

"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