Fraudulent Claim Uncovered: Surveillance and SIU Investigation Lead to Criminal Charges - March 10, 2025
A client of Argus West received a tip from their insured regarding a fraudulent claim. The claimant was working for a construction company and filed a workers’ compensation claim, alleging injuries to his shoulder, back, and internal organs from lifting ...
Pharmacy Lien Withdrawn Before Trial Following Strategic Defense - February 26, 2025
Argus West’s SPEAR Program successfully secured a $0 payment on a $2,928.49 pharmacy lien after preparing a thorough defense package. Despite an Order requiring the submission of PTCS, the pharmacy lien claimant failed to file the necessary documentation despite repeated ...
Exposing Fraud: How Investigation and Surveillance Led to Accountability in a Workers’ Comp Case - February 19, 2025
A 34-year-old window installer filed a workers' compensation claim with a client of Argus West after sustaining a lower back injury while loading materials. Though he sought treatment privately, he didn’t report the injury to his employer until months after ...
$12,254.83 Lien Defeated – ZERO Payment to Non-Compliant Chiropractor - February 18, 2025
Argus West’s SPEAR Program continues to deliver game-changing results, this time securing a $0 payment outcome on a $12,254.83 lien from a chiropractic provider. The SPEAR Program and its SIU Lien Unit provided SIU based lien defenses (not claims based) ...
Zero Payment Secured: Argus West’s SPEAR Program Shuts Down Interpreter Lien - February 13, 2025
Argus West’s SPEAR Program SIU Lien Unit successfully resolved an $8,906.25 lien filed by an interpreter services provider. The case presented unique challenges, with the lien claimant providing only a single response throughout the litigation process and failing to file ...
Argus West’s SPEAR Program Secures Victory Against Non-Compliant Chiropractic Provider - January 7, 2025
Argus West’s SIU SPEAR Program Lien Unit has achieved a significant victory by preventing any payments on $43,521.00 in billed services submitted by a chiropractic provider through bill review on multiple claims. During the investigation by Argus West’s Provider Fraud ...
Argus West’s SPEAR Program SAVES Client 100% on Interpreting Lien - December 11, 2024
Argus West’s SPEAR Program SIU Lien Unit successfully resolved a $21,543.75 lien filed by a medical interpreter provider FOR ZERO PAY! This case highlights the effectiveness of the team’s strategic approach to defending against non-compliant lien claims. Upon review, the ...
Argus West’s SPEAR Program Secures 94% Savings - December 5, 2024
Argus West’s SPEAR Program SIU Lien Unit was tasked with resolving a $17,902.50 lien filed by an unflagged provider for a series of medical treatments. During its initial review, the SIU Lien Team discovered that all billed services pertained to ...
Argus West Resolves $12,000 Lien with Strategic Advocacy and Compliance Expertise - December 4, 2024
Argus West’s SPEAR Program SIU Lien Unit was tasked with resolving a $12,000 lien filed by an imaging diagnostics provider. Upon initial review, the SIU Lien Team discovered that the provider had never submitted any billing or reports to the ...
Argus West’s SPEAR Program secures $27,170.50 savings on lien with multiple compliance violations - November 21, 2024
Argus West’s SPEAR Program SIU Lien Unit was tasked with resolving a $28,170.50 lien filed by a well known multispecialty clinic lien claimant. The lien included charges for unapproved shockwave therapy, unsubstantiated acupuncture procedures, and multiple instances of double billing. ...
