Mediating payor-provider disputes: apples and oranges

Payor-provider mediations can be complex and challenging due to the intricate nature of the claims involved. These disputes often require detailed claims spreadsheets and involve ERISA regulations and a complex body of case law. The fact-intensive nature of these mediations means that the devil is in the detail of every claim, and the parties and mediator need to effectively prepare for a mediation for it to be successful.

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Daily Journal