Home Services Insurance Follow-Up & Managed Care Disputes

Services

Insurance Follow-Up & Managed Care Disputes

Complex denial resolution & payor recovery strategies.

MAS maintains a dedicated division focused exclusively on the pursuit and recovery of complex commercial, governmental, and managed care claims. Our attorney-supported reimbursement team aggressively addresses underpayments, denials, improperly reduced claims, and legally intensive reimbursement disputes across all major payor classes.

Our team possesses extensive experience navigating the increasingly complex managed care environment, including commercial insurance disputes, Medicare and Medicaid claims, ERISA-related issues, out-of-network reimbursement disputes, and payer policy escalations.

What's included

  • Timely filing denials
  • Authorization and precertification disputes
  • Medical necessity denials
  • Coordination of benefits (COB) disputes
  • Retrospective audits and recoupment actions
  • Out-of-network reimbursement disputes
  • EMTALA-related reimbursement issues
  • ERISA benefit denials and appeals
  • Carve-out and partial hospitalization disputes
  • Contract interpretation and reimbursement variance analysis
  • Underpayment identification and recovery projects
  • Aggregate denial and trend analysis across payor portfolios
Our approach

How MAS delivers Insurance Follow-Up & Managed Care Disputes.

01

Triage

Every claim is categorized by denial type, payer, and recovery viability.

02

Investigate

We surface contract language, prior auths, and clinical context that support the claim.

03

Escalate

Operational appeal first; attorney-led escalation when the payer won't move.

04

Report

Aggregate denial trends feed back into your front end so the same denial doesn't repeat.

FAQ

Questions, answered.

Don't see yours? We're one call away.

Request a Consultation

Hard, complex, and legally intensive: the ones generalist billers walk away from.

Yes. ERISA appeals are a routine part of the work, including pre-litigation escalation.

Yes. IDR submission strategy, payer policy escalation, and arbitration support.

Net recovered dollars and time-to-resolution by payer, reported on a custom dashboard.

Ready when you are

Let's talk about your insurance follow-up & managed care disputes.

Tell us what you're trying to solve. A senior attorney will get back to you within one business day.

Why MAS

Not a collection agency. Not a standard RCM vendor. An attorney driven revenue cycle partner built for the hardest recoveries.

See what makes us different