Prevent Unfair Claims Acts and Low Settlement Valuation

The guidelines for processing private health insurance and Medicare claims differ drastically from personal injury and auto accident claims? In fact, the data required is so different that you need two different electronic health records.

Attorney Aaron DeShaw:

“Only a minority of lawyers and doctors have a clue what’s going on. 

We are excited to partner with the EHR Companies listed on this site to empower those who practice in personal injury to collect maximum reimbursement because your documentation will now meet the auto insurance company’s Colossus expectations.

Zeusclaim goes beyond the demand of medical-legal professional responsibility and accountability, it’s also about FREEDOM from the suppression of insurance adjuster and IME disputes, denials and omissions of claim factors and unfair, unrealistic, low settlement values assigned to injured parties by the insurance companies.

Court cases and Regulatory fines into the millions have revealed the insurance companies use “Unfair Claims Practices” and software “Tuning Bias” to ‘de-value’ and ‘cut’ claim settlement valuation.

The insurance companies’ software’s determine settlement values based on an ‘Artificial Intelligence’ system whereby CODES, referred to as insurer  “DECISION POINTS” represent a dollar amount.

If the attorney or physician do not incorporate these DECISION POINTS in their respective documentation S.O.A.P. notes and demand letter, in the correct terminology, format and sequence, the ‘windows’ of the insurer’s software do not open and compensation for these decision points associated with the injuries and point factors is lost.

This process is so detailed & complex that the public must rely upon those doctors and attorneys that are educated in this environment. To do otherwise would give back large portions of the settlement to the insurance industry & leave large amounts of dollars that were already determined to be paid in the settlement.

Zeusclaim is the software equalizer to mitigate the insurance companies software’s as Colossus by prompting both the doctor and the attorney to include all applicable “Decision Points” in the medical documentation and demand letter to offset unfair, low valuation.