Conditional Payment

Conditional Payment Verification Service
If conditional payment verification is requested, following the receipt of the proper authorization forms PMSI will correspond with the Medicare Secondary Payer Recovery Contractor to determine if conditional payments exist. Written documentation is obtained confirming that no conditional payments were made or providing a list of conditional paments made.

Conditional Payment Negotiation Service
If conditional payments exist, our dedicated Lien Specialist proactively communicates with the client and the Medicare Secondary Payer Recovery Contractor in order to reduce the total conditional payment amount. PMSI reviews the payment summary provided by Medicare and performs a detailed analysis of all file materials to include medical records, settlement documents, and other legal evidence. PMSI will then advise the client in writing whether any of the charges are disputable and provide recommendations for resolution and reduction of the conditional payment amount. PMSI will assist until final resolution is received.