Last year I posted on this Blog several comments made by insureds on a complaint board about unfair decisions made by an organziation called MES Solutions. The posts weren’t authored by me, but I felt it was important to inform clients of the emerging reputation of this company and re-printed several posts made by others elsewhere on the Internet.
I was contacted by an attorney from MES who ordered me to remove the posts claiming the organization had done a great deal to protect its reputation. Not having any stake in the blog post myself I gave the company the benefit of the doubt and removed the post from Lindanee’s Blog.
Since then however, I continue to review claims files (Prudential) containing medical peer reviews from doctors who across the board offer opinions in opposition to the insured. In fact, I have never read an opinion by an MES physician that is favorable to the insured. It is possible I’m only getting a chance to review the claims with adverse decisions, but it is odd nevertheless. It is also unusual that many of the MES physicians have foreign names.
Attorneys with whom I have discussed MES aren’t happy with the orgnaization and its reviews either. This organization and others like it may in fact be ”third generation claim killers”. In one claim I reviewed Prudential did not request its usual FCE, but instead relied upon the peer review by MES to document its adverse opinion.
MES Solutions is indeed a company to keep an eye on. The emergence of outside third party peer reviewers may be a cost effective way for the disability insurers to “purchase” opinions consistent with the business decision to deny claims. Bottom line, it isn’t good for insureds and claimants and if it wasn’t profitable companies such as Prudential wouldn’t be using their services.
MES Solution attorneys aren’t the only ones to threaten retribution to Lindanee’s Blog Posts. Unum also threatened action if DCS continued to post the names of its claims handlers and IME physicians. So much for free speech.