Our Process

Our Process

Claims Recovery Management operates under the most professional code of conduct in its work with members, attorneys and insurance companies to assure that the health plan obtains the maximum amount recoverable.

We have extremely sound methods for retrieving revenue for your company in connection with the third party liens. Since our sole purpose is the collection of third party liens, we know our methods work.

Our identifying system uses ICD-10 trauma/accident-related diagnosis from facilities billing or claims to identify a possible third party liability claim. These codes along with Data Transmission Capture Fields can be transmitted electronically via internet to Rhonda Smith at rhondasmith@claimsrecoverymanagement.com

Below are SOME examples of ICD-10 Codes utilized to trigger third party claims:

  • Motor vehicle accident
  • Fracture of scull
  • Fracture of spine and trunk
  • Open wound of head, neck and trunk
  • Certain traumatic complications and unspecified injuries
  • Transport Accidents
  • Slip and Fall
  • Any injury, whether accidentally or purposely inflicted

  • Data Transmission Capture Fields

    The following fields are needed for transmission to Claims Recovery Management to facilitate the investigation process for Third Party Liability Recovery:

    1. Patient Last Name
    2. Patient First Name
    3. Patient Address
    4. City
    5. State
    6. Zip Code
    7. Patient telephone number
    8. Patient date of birth
    9. Patient gender
    10. Patient account number (if applicable)
    11. Date Of Service
    12. Diagnostic Code (ICD-10)