Hit by a Semi Truck Know Who's Going to Pay Your Medical Bill?
Ps Mlf 11 11 10 Final Committee Folder
1. For more information,
call today...
1.866.269.0065
3301 Quantum Boulevard
2nd Floor
Boynton Beach, FL 33426
Phone: 866.269.0065
MLF@lumpsum.com
www.peachfunding.com
The products and/or services above are offered by Peachtree Funding Northeast, LLC, a subsidiary of Peach Holdings, LLC.
What Is Medical Lien Funding
Peachtree's Medical Lien Funding is a form of personal injury lawsuit funding or financing.
Medical Lien Funding pays Medical Providers (including surgeons, hospitals, and medical
facilities) now for services they would not get paid for until the associated personal injury
lawsuit resolves at trial or settles. Not only does this help Medical Providers, Medical Lien
Funding gives personal injury victims access to greater numbers of doctors and providers by
ensuring medical providers get paid. Peachtree takes all the risk associated with collecting
on the Medical Lien. In other words, nothing is owed if the plaintiff loses the case.
Benefits to Personal Injury Victims/Patients
Many victims of personal injuries are desperately in need of timely and quality medical and
surgical care but they do not have health insurance or the adequate means to pay for medical
treatment, surgical operations and hospital stays. Auto accidents and other personal injuries
cause the loss of income, property, health and even life. Through Peachtree, doctors and
medical providers are more likely to provide medical services knowing they are going to
get paid.
Why Is Medical Lien Funding Not a Loan?
Medical Lien Funding is not a loan. Loans are always repayable. With Medical Lien Funding
Peachtree does not recover any money unless the related claim or lawsuit is won or settled.
This is a cash purchase of a receivable, which is payed to Peachtree only if the case is won or
settled. If a plaintiff loses the case nothing is owed to Peachtree.
Medical Lien Funding
Peachtree At A Glance
Peachtree Financial Solutions is a leading specialty finance company focused on providing
liquidity to holders of high quality, but illiquid deferred payment obligations. The Company
purchases assets including medical liens, structured settlement payments, lottery winnings,
and select insurance and annuity products, the holders of which are individuals who often
have liquidity needs that are underserved by traditional banks and lenders. In addition,
Peachtree provides advances to personal injury plaintiffs and attorneys in exchange for a
portion of the expected proceeds of the case. By bringing a heightened level of professionalism
and institutional financing to the “cash flow” market, Peachtree has established itself as the
clear leader in the marketplace. Peachtree was a publicly listed company admitted to trade on
the Alternative Investment Market of the London Stock Exchange until it was purchased in a
‘public to private’ merger transaction in November 2006. Peach Holdings, Inc. is now majority
owned by DLJ Merchant Banking and Credit Suisse.
2. For more information,
call today...
1.866.269.0065
3301 Quantum Boulevard
2nd Floor
Boynton Beach, FL 33426
Phone: 866.269.0065
MLF@lumpsum.com
www.peachfunding.com
The products and/or services above are offered by Peachtree Funding Northeast, LLC, a subsidiary of Peach Holdings, LLC.
Benefits To Medical Providers
Peachtree eliminates the risk of collections inherent in personal injury cases as well as the
administrative burden of monitoring lien patient accounts over a lengthy period of time.
Peachtree will strengthen your practice by providing immediate cash for your current lien
portfolio and improved future cash flow from pre-approved lien-based patients.
See more patients - you no longer need to turn away the business of accident victims due
to a lack of finances or insurance.
Eliminate the risk of not getting paid under a letter of protection.
What Is The Process?
After documentation is collected and processed, underwriters review the documentation
supporting the injury and lawsuit where necessary. They speak with the plaintiff’s attorney
to help understand the lawsuit where necessary, as well as the medical care and surgical
treatments needed, provided or recommended.
Peachtree prices and then purchases the medical liens and letters of protection backed by
the proceeds of a claim or lawsuit.
If the case is approved, contract documents are executed and the check is sent to the
medical provider directly.
Benefits of Providing Lien Based Care
Peachtree completely eliminates these risks and costs associated with providing services
secured by a personal injury action, thereby allowing physicians to offer their services
profitably and without concern. We work with hundreds of physicians throughout the
country and as a result we know that:
Medical Providers are always seeking ways to improve the financial condition of their
practice and reverse deteriorating revenue caused by reductions in Medicare, State and
contract reimbursements, and the rising bad-debt crisis.
Providers are also looking for creative financing options for the treatment of their patients.
They want a smooth, almost invisible handling of the costs of patient services - a way of
providing quality diagnostic and surgical care, without complicated or conflicting payment
sources.
Providers do not wish to tolerate patients being treated financially different once outside
their offices, or experience extensive delays in getting prescribed treatment while finances are
worked out with another provider.
Providers want to be able to rely on an efficient, predictable process to which they can
refer cases, receive timely assessments and secure conclusive decisions, prior to committing to
a course of care.
Providers want to receive excellent service without impacting their already overburdened
staff or increase their administrative costs.
Peachtree can facilitate all these needs.
Medical Lien Funding
3. For more information,
call today...
1.866.269.0065
3301 Quantum Boulevard
2nd Floor
Boynton Beach, FL 33426
Phone: 866.269.0065
MLF@lumpsum.com
www.peachfunding.com
The products and/or services above are offered by Peachtree Funding Northeast, LLC, a subsidiary of Peach Holdings, LLC.
Types Of Cases That Qualify
Automobile Accidents
Premise Liability
Personal Injury Negligence
Trip / Slip & Fall
Medical Malpractice
What Kind Of Medical Procedures Do We Purchase?
Any procedures related to a personal injury lawsuit, such as:
Anesthesia
Arthograms Imaging
Brain surgery
CT
Discogram’s
Emergency Room
Epidural Injections
Hospital
MRI
Myelography
Nuclear Medicine
Orthopedic Surgery
Orthopedic Surgical Consults
Pain Management
Steroid Injections
Surgery
Surgical Center Fees
Medical Lien Funding
4. 3301 Quantum Boulevard
2nd Floor
Boynton Beach, FL 33426
Phone: 866.269.0065
MLF@lumpsum.com
www.peachfunding.com
PLEASE ATTACH THE FOLLOWING DOCUMENTS TO THIS REQUEST:
FULLY EXECUTED LETTER OF PROTECTION (LOP)
MRI NARRATIVE REPORT
PRE OPERATIVE REPORT (if available)
POST OPPERATIVE REPORT (if available)
ACCIDENT REPORT/ INCIDENT REPORT *
PATIENT INFORMATION:
Patient’s Full Name: ___________________________________________________________________________
Medical Provider’s Name: _____________________________________________________________________
ATTORNEY INFORMATION:
Attorney / Law Firm: ___________________________________________________________________________
Attorney / Law Firm Address: ____________________________________________________________________
____________________________________________________________________________________________
Attorney / Law Firm Phone: ____________________ Attorney / Law Firm Fax: _________________________
CASE INFORMATION:
Date of Accident: ____________________________ Case Type: _______ MVA _______ Slip & Fall
Status of Case: _________Pre-Litigation ___________Litigation
3rd Party Carrier: _______________________________________ Policy Limit: ___________________________
UM Coverage: _________________________________________ Policy Limit: ___________________________
Amount of Outstanding Liens (Other than Provider): $ ________________________________________________
Estimated Charges: $ ___________________________________________________________________________
MEDICAL INFORMATION:
Surgical Facility/ Hospital: ______________________________________________________________________
Surgical Date: ____________________________
Procedure: ___________________________________________________________________________________
CPT Codes: __________________________________________________________________________________
PLEASE FAX THIS SHEET ALONG WITH REQUESTED DOCUMENTS TO:
FAX: 866.321.6589
EMAIL: MLF@lumpsum.com
CASE SUBMISSION FORM
The products and/or services above are offered by Peachtree Funding Northeast, LLC, a subsidiary of Peach Holdings, LLC.
5. Peachtree Privacy Agreement
Peachtree Funding Northeast LLC ("Peachtree") values the
relationship it has with you and respects your right to privacy. We
have established the following policies to assure that we are
committed to protecting your privacy.
How We Safeguard Customer's Privacy
We know that the privacy of your personal information is important
to you. That's why Peachtree wants you to know how we protect
your privacy and the measures we take to safeguard your
information.
Our Privacy Pledge
In order to complete transactions with our customers in a prompt,
efficient and professional manner, we depend on certain
information. In gathering and maintaining this information, we
pledge to:
$ Collect the information needed to process, complete and
service the transaction you have requested.
$ Prevent unauthorized access to your information.
$ Refuse to disclose health information to third parties for
marketing purposes without your consent.
$ Maintain control over the confidentiality of your personal
information.
$ Update you on our privacy practices when they change
How Do We Protect the Confidentiality and Security of Your
Information?
We maintain physical, electronic and procedural safeguards to
ensure your personal information is treated responsibly and in
accordance with our privacy policy. We also restrict access to your
personal information within our organization to those employees
who need to know that information to process, complete or service
your transaction, or to conduct Peachtree's business. Employees
who have access to customer information may use it only for
legitimate business purposes.
Our Information Practices
The following policies and procedures protect the privacy of your
information, whether you are a current or former customer:
Categories of Information We May Collect
In the normal course of business we may collect the following types
of non-public information about you from the following sources:
Information we receive from you on applications, questionnaires,
agreements and other forms (including name, address, income,
social security number, information about certain of your assets and
other household information).
$ Data about your transactions with us, our affiliates or
others (such as the specifics about your assets).
$ Information available from external sources (such as
publicly available records).
$ Information, collected with your authorization, from
consumer reporting agencies, and other sources (such
as credit relationships, credit worthiness and history, or
medical information).
$ Health information collected with your authorization.
Safeguarding Customer Information
Access to customer information is limited to personnel who need
the information to perform their job responsibilities. Physical,
electronic, and procedural safeguards are in place to protect your
personal information.
How We Use Customer Information
We may share or disclose your non-public personal information (as
described above) with non-affiliated companies as described below.
We may disclose your information with non-affiliated companies, as
allowed by law, as necessary to effect, process, administer, service
or enforce a transaction you have requested.
We may share your information with non-affiliated companies as
allowed by law, such as firms that perform services on our behalf
including product administration and marketing. We require these
companies to meet strict privacy standards.
We may disclose information to non-affiliated entities when required
by law, such as to respond to a subpoena, to prevent fraud, or to
comply with an inquiry by a government agency.
We may share your information (including medical information and
information related to your personal injury) with non-affiliated
funders or lenders who are assisting us in processing, funding and
completing the transaction you have requested and/or who may
assist us to re-finance the terms of the transactions that are
completed by us.
Health Information Practices
We will not share your health information with third parties for
marketing purposes without your consent.
Is Your Medical Information Confidential?
While we sometimes must collect medical information in connection
with a transaction you have requested, we do not use or share it
internally or externally, for any purpose except the following:
As noted by the terms herein;
Relating to the obtaining of financing for the transaction(s) you
seek with us;
Monitoring the proceedings of your Litigation;
As required or permitted by law; or
As otherwise authorized by you.
Questions?
We value our customers and want you to understand how we use
the information we collect. Please contact us if you have any
questions about our privacy policy.
This privacy notice describes our privacy policy for both current and
former customers and consumers.
If you need more information about this privacy policy, you can call
us at 1-877-386-3123.
Keeping Up-To-Date With Our Privacy Policy
This privacy policy takes effect July 1, 2006. We will inform you of
our privacy policy at least once a year, as long as you are a
customer of Peachtree. You can always contact us for a copy by
writing to: Peachtree Funding Northeast, LLC, 3301 Quantum Blvd.,
Boynton Beach, FL 33426.
Please keep this notice for your records.