This program offers full professional custodial services for WCMSA claims not submitted or approved by Medicare. Utilizing our Medical and Pharmacy Benefit Management resources, we make medical and pharmacy payments below the WC Fee Schedules.
What’s Required?
- The Medicare Set-Aside funds
- The Approved Settlement Documents
- The MSA (Allocation/Medical Cost Projection) report
Services Include:
- WCMSA Custodial Agreements signed by all parties.
- Annual financial statements provided to accounts showing interest earned, deposits and expenditures
- Annual 1099-Interest forms provided to accounts for tax purposes/filing
- Professional case management assistance
- Utilization Review claim decisions as both injury-related and Medicare-covered
- WC Fee Schedule adjustments
- Medical and Pharmacy wallet-size insurance cards to assist with billing
- Claims Payment Services
- Bill Reviews (EOR/EOB) sent to providers along with payment
- Pharmacy Benefit Management for cost containment and account sustainability
Structured Settlement & Lump Sum Pricing Set-Up Fee
Set-Up Fee (one-time only): Typically $1000
Annual Administration Fee: $500 for a maximum of three years-may be waived or reduced dependent upon the claim complexities
Typically determined on a case by case basis. Please call Jan at FFC for a specific quote by case facts.