Legal Support Services

Triage’s Legal Support Team offers a wide array of comprehensive legal support services.

Alternative Dispute Resolution (ADR) Support Services

Triage’s consultants have in-depth knowledge and expertise in the application of managed care contracts and claims payment processes. This expertise allows Triage to provide in-depth reviews of claim sets and serve as expert witnesses. Utilizing Triage’s vast industry knowledge markedly improves the efficiency and effectiveness of outside counsel, whether in negotiation, mediation, arbitration, or litigation through services including, but not limited to:

  • Claim set analysis (pricing, payment verification and analysis, interest calculations, etc.)
  • Financial modeling
  • Discovery & per-claim document pull
  • Expert testimony on reimbursement methodologies (in deposition and trial)

Triage serves in this role frequently, and for a variety of complex cases that range from single issue cases to large-dollar disputes, including multi-million dollar issues with tens of thousands of claims. All cases are handled with the same level of commitment and expertise, often at a lower rate than other ADR support options.

Dispute Initiation and Legal Case Management Services

Triage’s Legal Support Team, in conjunction with Iba Law Corporation, also provides hospital clients with a seamless and cost-effective way to escalate underpayment issues that cannot be resolved through traditional appeal processes. Triage continues to recover significant dollars through various legal channels (demand letters, negotiations, meet and confer, as well as others) for a variety of complex risk areas.