Verification of Entitlement

If you don't know that the plaintiff in an auto accident, liability matter, medical malpractice incident, no-fault situation, or workers compensation claim is a Medicare or Medicaid beneficiary, how can you properly protect the claimant, your organization, or Medicare/Medicaid’s interests? How can you make sure everyone involved in the claim has done what's legally necessary?

The Cattie & Gonzalez Verification of Entitlement (VOE) service allows you and your organization to have eyes wide open as to what benefits the plaintiff is entitled to and therefore what liens or reimbursement obligations may exist, as well as what future steps may be necessary to protect his/her future entitlement to these benefits.

Cattie & Gonzalez provides clients with detailed information as to whether the plaintiff is on Medicare Part A (hospital) and Part B (physician), or whether he/she may have switched to Medicare Part C (advantage) or Part D (prescription) plan.

We are also able to provide our clients with information about state Medicaid or managed care organization entitlement, as well as VA and Tricare military benefits eligibility, allowing you the opportunity to make plans to fully comply with federal reimbursement obligations that may exist in your mass tort, nursing home, products liability, slip and fall, or wrongful death case.

Our VOE service allows you and your organization to minimize these federal liens exposure more easily, consistently, and comprehensively. This service will simplify the early components of securing accurate and timely information regarding the plaintiff’s entitlement to these federal benefits. We do the research and then provide you with simple and understandable reports delineating the type of coverage, the dates of coverage, and the specific plan providing such coverage to the plaintiff.

We conclude our VOE service by making recommendations regarding any changes necessary to the client’s mandatory reporting program, by outlining recommended resolution of any pending or outstanding liens, as well as by providing detailed steps to take into consideration in order to protect ongoing entitlement to Medicare, Medicaid, and/or Military benefits.

Clients hire Cattie & Gonzalez to provide VOE services either on a case by case basis or for entire portfolio of claims. Some clients build our VOE service into their intake protocols to understand potential lien obligations from the start. Other clients deliver hundreds of claims at once in order to assess potential exposures missed by their "current" MSP protocols. If our VOE reveals no entitlement status for a claimant, we charge our clients a nominal fee. If our VOE reveals positive entitlement status and the client hires us to resolve potential liens, Cattie & Gonzalez waives its VOE fee in full.