Solving the third party medical claim dilemma for auto carriers and hospitals.

1. The MVA Medical
ClaimXchange
Streamlining Third Party MVA Medical Claim Processing
ClaimFACTS, LLC l 3941 Legacy Drive, Suite
204, Plano, Texas 75023 l 214-908-7472 l
www.claim-facts.com
©Copyright 2013 ClaimFACTS, LLC

2. Why we did this….
• Third Party MVA Medical Claims Cost Hospitals and Carriers $$
Millions
• Leveraging over 20 Plus Years of Healthcare Revenue Cycle
Management Expertise to Identify Opportunity for Claim
Resolution
• Administrative Costs on Both Sides of
the Claim Issue are Substantial
• Hospitals Hold Outstanding MVA A/R
for Months and Often Years before
Resolution
• Carriers Often Overpay Third Party Medical
Claims due to Plaintiff Attorney Interaction
• Plaintiff’s Attorneys are the Biggest Winners in the Transaction
Every Time
ClaimFACTS, LLC l 3941 Legacy Drive, Suite
204, Plano, Texas 75023 l 214-908-7472 l
www.claim-facts.com
©Copyright 2013 ClaimFACTS, LLC

3. Who we are….
ClaimFACTS, LLC l 3941 Legacy Drive, Suite
204, Plano, Texas 75023 l 214-908-7472 l
www.claim-facts.com
• ClaimFACTS, LLC is a Texas Based Company with Plans for
National Expansion
• Management Team has a Deep Background In Medical Claims
and Payments Process
• Core Focus is the Resolution of Third Party Medical Claims
and the Release of Liens between the Auto Carrier and
Provider
• Provide Quick Access to Claims Resolution through the
ClaimXchange
• Provide Hospitals and Carriers a Direct
Communications Link to Resolve Claim Issues
• Claims and Liens Management are Supported through the
ClaimFACTS System
©Copyright 2013 ClaimFACTS, LLC

4. • Medical Claim Files are Submitted Electronically to ClaimFACTS
on Weekly Basis from Hospital Participants
• Claims are Researched to Establish First Carrier Contact
• Carriers are Presented Claims via the ClaimXchange
to Determine Liability for Quick Payment
and Resolution
• ClaimFACTS Secures Signed Settlement
Agreements from Medical Providers
• Reductions Historically Average between
40% and 60% off of Billed Charges
• Upon Receipt of Payment Hospital will Release the Lien and File
Release with the County Clerk
How we do this …….
ClaimFACTS, LLC l 3941 Legacy Drive, Suite
204, Plano, Texas 75023 l 214-908-7472 l
www.claim-facts.com
©Copyright 2013 ClaimFACTS, LLC

5. ClaimFACTS Connects the Required Parties
to Resolve MVA Medical Claims
At a glance …….
ClaimFACTS, LLC l 3941 Legacy Drive, Suite
204, Plano, Texas 75023 l 214-908-7472 l
www.claim-facts.com
Hospitals
&
Ancillary
Providers
MVA Medical
ClaimXCHANGE
Technology
Submit MVA
Claims
Forward for
Payment
Provider
Claim
Database
Carrier
Claim
Database
Submit Claims
Present for
Settlement
Cross Reference
Matching
HIPAA Certified
Auto
Carriers
Note: There are NO Boxes in the chart for Plaintiff’s Attorneys
©Copyright 2013 ClaimFACTS, LLC