Why did Memorial Hermann partner with S&J?
S&J is assigned those claims where a third-party may be responsible for the hospital admission due to injuries caused by fault, accident or negligence of another. S&J will investigate the responsible parties and amounts of coverage, advocating and/or defending the priority and enforceability of the hospital’s interest in potential settlement funds, and negotiating final resolution of the hospital’s interest.
Why do I need to communicate with S&J if I have Medicaid or Medicare?
Medicare and Medicaid are considered “payers of last resort” under state and federal law. Healthcare providers are required or authorized to directly bill a third party payer operating under federal or state law. Healthcare providers must reasonably and objectively investigate these alternative and legally primary payment resources.
Why do I need to communicate with S&J if I have health insurance?
Your health insurance policy may indicate that first party or no-fault insurance is primary and your health insurance may deny and/or pend your claim because you were involved in an accident.
What can I expect when calling S&J?
Professionals with an excellent talent pool of experienced lawyers and non-lawyer staff who have backgrounds in healthcare, insurance and the law concerning reimbursement for accident-related treatment.