· Our Account Purchase Application

· Account data-this will include actual data from available accounts

· Your facility’s historical collection information for MVA patients, if available

· Collection agency recovery reports, if applicable

· Copies of any filed notices or correspondence to/from the patients’ attorney

· A copy of the admission/consent form

· Self pay

· Doesn’t qualify for charity care

· Isn’t in a current payment program

· MVA related (may be coded as low back, neck pain)

· 90+ from DOS

· ED intake

For our clients outside of the hospital setting:

· Our Account Purchase Application

· Account data-this will include actual data from available accounts

· Your facility’s historical collection information for LOP / Medical Lien MVA patients

· Collection agency recovery reports, if applicable

· Copies of any filed notices or correspondence to/from the patients’ attorney

· A copy of the admission/consent form/intake questionaire

· A copy of the Letter of Protection (“LOP”) or medical lien

What a typical Letter of Protection (“LOP”) / Medical Lien account looks like

· Self pay (uninsured)

· Doesn’t qualify for charity care

· Isn’t in a current payment program

· MVA related

· Represented by an attorney

· 90+ from DOS

What accounts must have

· Signed financial responsibility documents and completed intake forms

· Signed Letter of Protection or Medical Lien

· Be within 6 months of the personal injury statute of limitations (normally 2-3 years from accident)

· Patient must be represented by an attorney