Alternative Dispute Resolution
Apr. 11, 2025
Mediating payor-provider disputes: apples and oranges
Effective payor-provider mediations require meticulous preparation, including detailed claims spreadsheets, expert input, and clear communication, with careful attention to approaches for claim grouping and productive participation.
Payor-provider mediations can be complex and challenging due to the intricate nature of the claims involved. These disputes often require detailed claims spreadsheets and involve ERISA regulations and a complex body of case law. The fact-intensive nature of these mediations means that the devil is in the detail of every claim, and the parties and mediator need to effectively prepare for a mediation for it to be successful.
People necessary for a produ...
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