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New Software Makes Lawyers Accountable for Their Part in Our Healthcare Crisis
Date:7/7/2009

RICHMOND, Va., July 7 /PRNewswire/ -- "It's time for Plaintiffs' attorneys to do their fair share in helping our healthcare crisis, and we are making that happen," says Stephen Ambrose, CIO of the SubroShare(R) data exchange.

SubroShare is a startup healthcare IT company which utilizes Collaborative Subrogation(TM), a technology predicated upon a common activity known as a request for a patient's health record. This transaction typically takes place between a health provider's office and an attorney, representing an injured party, who had received care from the provider. Such record requests are an everyday necessity, aiding attorneys in substantiating and in part valuing the amount of monies asked for in a lawsuit or injury claim. Such claims are a large part of an estimated $241 billion-per-year industry.

Even though a patient's health services had been paid by their health insurance, under the law in most states, the attorney has the right to bill the services again to the party they are suing -- and at full rates. This "double-dipping," or duplicate billing and payment on health services, greatly increases the cost of health insurance payments, resulting in a passing along of costs in policyholder premiums.

In order to combat such duplicate payments, many insurance plans have a legal right known as subrogation, which allows a plan to recover their payments if the patient recovers a significant amount of money in a successful injury claim settlement. However, due to the use of prior mediocre data, such overpayments have been very difficult to find for insurers. Moreover, attorneys generally have no obligation to notify the health insurer, even if they do know the patient's policy should be repaid.

The patent-pending data exchange of SubroShare now identifies many missed claims by receiving part of a records release from a health provider who is a member of SubroShare.

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