Friday, June 18, 2010

Surgery Funding; How does it work ?

We've all encountered situations where a client has a torn meniscus requiring surgery, a rotator cuff tear or a cervical or lumbar disc injury requiring major surgery. Let's face it , it is never easy getting these surgeries done usually because of one of the following reasons;
1. No-Fault has been cutoff or the No-Fault carrier has refused to pay for procedure;
2. Worker's comp. refuses to authorize the procedure;
3. The surgeon is being difficult to work with and is demanding full payment[not insurance rates];
4. Major medical won't pay for surgery because it's accident related or
5. All of the above.
Aside from the obvious medical benefits to the client , undergoing a necessary and causally related lumbar decompression/fusion surgery can also turn a $75,000 case into a seven figure case.(see Verdict Searches for this procedure).
That's where we come in. Surgery funding is like other pre-settlement funding; the required documents include,
a. liability info
b. adequate insurance which will allow room for a funder's lien to be repaid and
c. meds/mris and physician's surgery reccommendation letter including type of surgery and costs.
Once funding is approved and contract signed[funding is non-recourse], the checks will be drawn directly to surgeon, hospital and for other related medical costs and sent to the attorney to distribute. Monies for the client's post-surgery living expenses can also be included.
Yes, it's as easy as that. So next time your client needs a procedure and all attempts to get it done through the normal channels lead to a dead end; Give me a ring.

Happy father's day!

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