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.
Daniel A. Platt
Mediator, Arbitrator and Neutral Evaluator
JAMS
Phone: (213) 253-9734
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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