Law Firm Manages & Reduces Risk For RBP Plans

Protecting patients,
health plans and insurers
across the U.S.

“We engaged Koehler-Fitzgerald in 2015 to represent covered employees of health plans we provide administration to that have adopted reference based pricing. They have been very responsive to the needs and questions presented by plan sponsors, plan members, and our staff. Their success rate with balance billing issues presented to them has been in excess of 99% by any standard of measurement. Knowing that every participant has legal representation from a high quality, experienced law firm provides our client plans and employers confidence that their employees will be properly protected from the many aggressive balance billing practices that a small portion of hospitals and other medical providers attempt to employ. They have been shown to be the most effective solution to the only real impediment to adopting reference based pricing.” – Jim Farley, J.P. Farley Corporation

aequum provides resources to manage and reduce risk to self-funded health plans by protecting, advocating for and supporting the plans’ members and dependents.

We protect members and dependents against unreasonable out-of-network and balance billings by health care and medical providers and unfair debt collection practices. Based upon post-pay review, we partner with large self-funded plans and insurers to recover overpayments from medical providers.

We also partner with stop-loss carriers in defense of excess liability claims. Through our relationship with Koehler Fitzgerald LLC, we provide highly rated trial and appellate lawyers to cover all stages of activity from advocacy and negotiation to jury trial and appeal.

Our Reports

aequum utilizes a proprietary database to provide customizable weekly, monthly and annual reports to our partners. Reports can include claim status, disputed amount, original billed amount, settlement amount, claims by plan or provider, and percentage of savings and recovery. Because the database is fully relational, any category of information may be tracked and reported. The reports can be specific to one plan, multiple plans, geographic region, insurance coverage, carrier or provide a general overview.

aequum | Protecting Against Unreasonable Medical Charges (aequumhealth.com)

Koehler Fitzgerald LLC

1111 Superior Avenue East
Suite 1360
Cleveland, OH 44114

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