Paradigm Medical Services, Inc. specializes in obtaining agreed reductions from medical
bills incurred from work injury claims. We perform this service for Insureds, Third
Party Administrators, Insurance Companies, Adjustors, and Attorneys.
Maritime Insureds: Companies who are not self-insured and
incur medical bills that do not meet their insurance deductible
can submit those bills to Paradigm for review. After it is reviewed,
the adjusted bill is sent to the provider for agreement or sent
back to the company if it is deemed fair and reasonable.
Maritime Self-Insureds: Some companies elect to self insure
their maritime employees. This keeps their monthly expenses to a
minimum. Companies have vested interest in their bottom line. They
submit every bill for agreed negotiations with the provider. If
the bill is deemed "Okay to Pay," there is no charge for the review.
Marine Insurance Companies: Most insurance organizations normally do not
automatically obtain agreed medical audits under $10,000.00. Insurance companies
outsource these medical bills to Paradigm as they neither have the time nor the
resources to complete this task.
Maritime Adjusters: Adjusters can achieve tremendous savings for their clients.
Maritime Defense Attorneys: Many times, attorneys obtain
cases direct and have the need for medical bill negotiations with
the provider. Attorneys will also use Paradigm Medical Services
in mediation issues with the plaintiff attorneys. In the event a
plaintiff attorney has paid the medical bills up front, we provide
the defense attorney with the state fee schedule and usual &
customary fee for the geographical area.
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