MAG Third Party Payer Claims Recovery Service
The Medical Association of Georgia (MAG) gives state specialty societies the opportunity to join MAG members with access to a unique third party payer claims recovery service.
These state specialty societies pay MAG an annual service fee. MAG charges the physicians that use the service a recovery fee, including 10 percent of the claims that are recovered for members of MAG or the participating specialty societies and 25 percent of the claims that are recovered for non-members. If a practice that includes both members and non-members submits claims for assistance, the individual physician's claims will serve as the basis for the recovery fee (e.g., if physician A is a member and physician B is a non-member, the recovery fee for physician A will be 10 percent while the recovery fee for physician B will be 25 percent).
Practices must exhaust every contractual remedy and appeal before submitting a claim to MAG, and claims information must be submitted to MAG in an electronic format and include…
- A brief synopsis of the issue
- All supporting documentation
- A record of every attempt to collect the unpaid claims
- A signed business agreement that gives MAG the authority to view information that is covered by HIPAA
MAG will not collect money from patients; MAG will only collect money from public and private payers.
MAG does not offer legal advice or practice management training.
For issues not directly related to the recovery of funds, MAG will provide its members and members of participating specialty societies with a preliminary consultation of up to one hour of staff time at no charge.
MAG will refer practices that require more than one hour of staff time to an outside attorney – and the practice will be responsible for any fees that are required by that attorney. MAG endorses Sidney Welch with Polsinelli at email@example.com or 404.815.6036.
MAG does not charge a fee for referrals.
Physicians can contact Susan Moore at firstname.lastname@example.org to determine if their specialty society participates in MAG’s Third Party Payer Claims Recovery Service.