This is just a reminder that we are within 2 months of 1st Qtr. profitability. Requests for IMEs, surveillance, and to a lesser extent field interviews will be sent out. Insureds should also be exercising due diligence on “short deadlines” given to treating physicians from third-party paper chasers such as Release Point.
ERISA Plans allow 30-45 days to submit update information and IDI claims require submission within “90 days of any claimed period of disability.” Physicians have a tendency to get a little testy when given only 10 days to submit patient notes and completed form. The important thing to remember is that the request is out-of-Plan or Contract. Release Point, PMSI, EMSI and other agencies are just looking to submit paperwork in order to meet profitability timelines.
Therefore, be on the lookout for medical request deadlines that are unreasonable, and don’t allow them. In any event, please be aware that 1st Qtr. profitability is extremely important and is a way for insurers to make up any losses from the previous year.
