Who we worked alongside:

Practice Type
California Qualified Medical Evaluator (QME)
ENGAGEMENT DURATION
Under 7 days from demand to signed agreement
CLAIM TYPE
Medical-legal QME evaluation and billing
RECOVERY OUTCOME
$52,300 recovered from a $52,390 receivable
CARRIER POSITION
Payment remained outstanding with no clear resolution timeline
RESOLUTION METHOD
Structured pre-litigation negotiation, no petition filed

The key obstacles our team had to overcome:

$52,390 Stuck in A/R

A major QME balance remained unpaid.

No Payment Commitment

No firm payment date or signed resolution.

Growing Cost of Delay

Further delay meant a longer wait for recovery.

Avoiding a Lengthy WCAB Fight

The goal was resolution without drawn-out litigation.

Doctor Management Services’ Pre-Litigation Recovery Strategy: Steps That Moved the Case to Resolution

A stalled QME receivable does not always need to become a litigation file. In this case, our team used a structured sequence of documentation and persistent follow-up to move a $52,390 unpaid balance toward a $52,300 recovery in under seven days.

Complete Demand Package

We opened with the full file: QME report, itemized billing, proof of service, and supporting documentation, so there was no room for unnecessary delay.

Statutory Support

Each communication was backed by the applicable California medical-legal payment rules, including references to payment obligations, penalties, and interest.

Professional Follow-Up

We kept the communication firm, cooperative, and solution-focused, making it easier for the defense team to move the file forward.

Immediate Settlement Pivot

As soon as defense counsel indicated that payment had been recommended, our team moved immediately to formalize the resolution.

Close the Loop

We continued tracking the matter until the settlement agreement was fully executed, ensuring the file did not stall after an informal commitment.

The Outcome: $52,300 Recovered in Under 7 Days — Without Filing a Petition

We moved a stalled $52,390 medical-legal receivable to resolution in under seven days through documentation and pre-litigation negotiation.

99.8%

BALANCE RECOVERED

$52,300

TOTAL AMOUNT RECOVERED

$0

LITIGATION COST INCURRED

Under 7 Days

RESOLUTION TIME

$90

UNRECOVERED BALANCE

0

HEARINGS REQUIRED
◔ Recovered Balance - Original vs. Final
99.8% of outstanding QME receivable was recovered, leaving just $90 unresolved.
Recovery Summary
Original Outstanding balance
$52,390
Amount recovered
$52,300
Remaning Balance
$90
Recovery Rate
99.8%

Despite Timeline - From Initial Demand to Signed Agreement

A stalled receivable moved from demand to signed resolution in under one week

Day 1

Demand Packet Sent

QME report billing statement, proof of service and statutory report delivered.

Day 2-3

Follow up

Professional communication kep the matter moving.

Day 4

Payment Recommended

Defense counsel advised the client to proceed with the payment.

Day 5

Agreement Sent

DMS immediately moved to finalize the resolution.

Day 1

Agreement Executed

Defense counsel returned the signed agreement.

Carrier Overview - How the file moved to payment

The case shifted from silence to signed resolution once the document left no room for delay.

Initial Position

A $52,390 medical-legal balance remained unpaid.

Payment Status

No firm payment commitment or clear resolution timeline.

Counsel Response

Defense consel advised the client to proceed with payment.

Final Action

A fully Executed agreement was returned the next day.

Silence

Documentation Delivered

Payment Recieved

Agreement Executed

Carrier Snapshot
Opening Balance
$52,390
Formal Objective Raised
No documentation in the demand stage
Payment Recommendation
Recieved
Agreement status
Executed

Carrier Overview - How the file moved to payment

The case shifted from silence to signed resolution once the document left no room for delay.

99.8%

Recovery Rate

$52,300

Amount Recovered

$90

Remaining Balance

Under 7 Days

Resolution Time

0

Petition Filed

1

Signed Resolution

Outcome Summary
Original Balance
$52,390
Recovered
$52,300
Unrecovered
$90
Hearings Required
0

In under seven days, a stalled $52,390 QME receivable was converted into a $52,300 recovery through documentation, disciplined follow-up, and pre-litigation negotiation — without filing a petition.

DOCTOR MANAGEMENT SERVICES — QME RECOVERY CASE STUDY

What Stood Between the Provider and Payment — And How We Addressed It

Each point of friction was handled quickly, with the goal of keeping the matter moving toward resolution instead of litigation.

Unpaid QME Balance $52,390 remained outstanding with no clear resolution timeline. Submitted a complete demand package with supporting documentation. Resolved
No Firm Payment Commitment The file had no dependable payment date or signed agreement. Followed up with a clear, professionally documented resolution request. Resolved
Informal Approval Only Defense counsel indicated payment should proceed, but the matter was not yet finalized. Sent the settlement agreement immediately to formalize the commitment. Resolved
Risk of Further Delay The case could have stalled again after the initial approval. Continued follow-up until the agreement was fully executed. Resolved

Have a QME Balance That Should Have Been Paid Already?

Doctor Management Services helps providers move stalled medical-legal receivables toward resolution through documentation-first recovery, strategic follow-up, and pre-litigation negotiation.