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BLUE CROSS BLUE SHIELD OF TEXAS

Subrogation & Reimbursement Unit

RE: Reimbursement claim - Claimant M. Martinez

Date of notice: March 14, 2026

Jurisdiction: State of Texas

Our records reflect medical benefits paid on behalf of the claimant in connection with the incident referenced above.

This plan is governed by ERISA and asserts a first-priority reimbursement right against any settlement or recovery.

Total asserted reimbursement: $18,472.55

Remit payment to: BCBSTX Recovery, P.O. Box 21311, Dallas, TX 75211

Counsel of record: Martinez & Cole LLP

Recovery Specialist, Subrogation Unit

ExtractionReimbursement / Subrogation Notice98%
Search this document…
1 match“Remit payment to…” · p.1

Lienholder

Blue Cross Blue Shield of Texas

p.1

Jurisdiction

Texas

p.1

Asserted amount

$18,472.55

p.1

Remit to

P.O. Box 21311, Dallas, TX

p.1

Counsel of record

Martinez & Cole LLP

p.1

Potential lien detected

ERISA-governed plan asserting a first-priority reimbursement right. Flagged as an enforceable subrogation lien.

Classification · Extraction · Lien detection · Search

It reads every file

Knows what it's looking at, pulls what matters.

Document intelligence turns a case's pile of files into a record you can act on. The reading, sorting, and data entry are done before anyone opens the first page.

Recognized on sight

  • Medical records
  • Settlement releases
  • Hospital & provider liens
  • EOBs & remittances
  • Payoff letters
  • Health-plan subrogation notices
  • Police & crash reports
  • Case expense ledgers
  • Demand letters
  • Disbursement statements
  • Client intake summaries
  • Medicare conditional-payment letters
  • Retainer agreements
  • Wage-loss documentation

Extracted, and cited

  • Document type
  • Lienholder & carrier
  • Payment method & remit-to
  • Jurisdiction
  • Attorney of record
  • Key dates & amounts

See it in action

From your case management software and back, in a few clicks.

The whole round trip, in motion: a matter pulled from your case management system, every file read and classified, each value checked against its source, and the finished statement pushed back.

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BLUE CROSS BLUE SHIELD OF TEXAS

Subrogation & Reimbursement Unit · Dallas, TX

Claim No. TX-4471902March 14, 2026

RE: Reimbursement claim - Claimant M. Martinez

Our records reflect that medical benefits totaling $18,472.55 were paid on behalf of the above-referenced claimant in connection with the incident described in your notice of representation.

As plan administrator, Blue Cross Blue Shield of Texas asserts a right of reimbursement against any settlement, judgment, or recovery obtained on the claimant's behalf.

Payment in satisfaction of this claim should be remitted to P.O. Box 21311, Dallas, TX 75211, referencing the claim number above.

p.1

Settlement amount

$18,472.55

Lienholder

Blue Cross Blue Shield of Texas

Remit to

P.O. Box 21311, Dallas, TX

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Every value, cited and verifiable

Everything Closeout extracts is cited to the page it came from. Click any value, the settlement amount, the lienholder, the remit-to address, and jump straight to the source to verify it.

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NOTICE OF REIMBURSEMENT INTEREST

BCBSTX PPO · Group #TX-2231 · March 14, 2026

This letter serves as formal notice of the Plan's interest in any recovery obtained by the claimant arising from the referenced incident.

The Plan is a self-funded employee welfare benefit plan governed by ERISA, and asserts a first-priority right of reimbursement against any settlement or recovery, without reduction for attorney's fees or the make-whole doctrine.

Nothing herein shall be construed as a waiver of the Plan's rights under the plan document or applicable law.

Potential lien detected

ERISA plan, first-priority reimbursement right. Flagged as a subrogation lien.

02 / 05

A lien can hide in a sentence

Closeout reads for the language that signals a lien, ERISA reimbursement terms, statutory hospital liens, and flags which one to look out for.

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Search this document…

NOTICE OF REIMBURSEMENT INTEREST

BCBSTX PPO · Group #TX-2231 · Page 1 of 3

The Plan asserts a first-priority right of reimbursement against any settlement, judgment, or recovery obtained by the claimant in connection with the referenced incident.

Such reimbursement shall be made without reduction for attorney's fees, costs, or the make-whole doctrine, to the fullest extent permitted under the governing plan document.

This notice is issued pursuant to the terms of the plan and applicable federal law, and does not waive any right the Plan may hold.

1 matchp.1

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Search any document

Type a keyword and jump to every match, highlighted on the page and cited, instead of scrolling a hundred-page record by hand.

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MEMORIAL HERMANN - BILLING STATEMENT

Patient M. Martinez · Acct #5592014

To whom it may concern: the itemized charges below reflect services rendered to the above patient in connection with the referenced claim.

CPTDescriptionCharges
99284EMERGENCY DEPT VISIT, LVL 41,850.00
72148MRI LUMBAR SPINE W/O CONTR2,400.00
73721MRI LOWER EXTREMITY JOINT2,150.00
97110THERAPEUTIC EXERCISE 15MIN180.00
J1885KETOROLAC INJECTION 30MG42.00
TOTAL CHARGES6,622.00

Payment is due within 30 days of the date of this statement. Please remit to BCBSTX Recovery, P.O. Box 21311, Dallas, TX 75211, referencing the account number shown above.

This statement is furnished in connection with the referenced claim and is not a demand for payment where a third-party payer is responsible. Direct billing inquiries to (713) 555-0142.

Billing Office · Memorial Hermann Health System · Houston, TX

Extracted line items
DateCodeDescriptionAmount
02/1499284ER visit, level 4$1,850
03/0272148MRI, lumbar spine$2,400
03/0973721MRI, knee$2,150
02/2897110PT session$180

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Itemized bills, line by line

An itemized bill is read line by line into a clean, structured table, dates, codes, descriptions, and amounts.

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Clio ▸ Martinez v. ProgressivePull from Clio
Clio ▸ Martinez v. ProgressivePull from Clio
Reading…
MedRecord_MemorialHermann.pdfMedical record
Release_Progressive.pdfRelease
EOB_BCBS.pdfEOB
Lien_MemorialHermann.pdfHospital lien

Closeout complete

Settlement_Statement_signed.pdf

Pushing to Clio…

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Sync to your Case Management System

Sync a matter from your case management system, Clio in the example here, and Closeout reads and classifies every file. When the closeout is done, the signed statement pushes right back to the matter.

The AI does the reading. You keep the judgment.

Every value comes with its source page to confirm. Extraction runs under a HIPAA business associate agreement, with zero retention.

Questions, answered

Document intelligence, in plain terms.

It reads the documents in a case and turns them into structured data. Every file you pull from your case management system or upload is identified by type and mined for the fields that matter, so you start from a record, not a stack of PDFs.

Medical records, settlement releases, hospital and provider liens, EOBs, payoff letters, subrogation notices, police reports, and expense ledgers, identified by content, not by filename.

Document type, lienholder or carrier, payment method and remit-to address, jurisdiction, attorney of record, key dates, and amounts, plus any custom fields you define. Every value is cited to its source page for you to confirm.

Yes. It flags the language that signals a lien, like ERISA plan terms asserting a first-priority reimbursement right, so a lien buried in the wording never slips past.

Yes. Type a keyword and Closeout highlights every match and hands you the page citation, no scrolling a hundred pages by hand.

Yes, and you should. Everything is shown with its source page, and nothing is final until a person confirms it. The AI reads; your team decides.

Yes. Documents are encrypted and isolated to your firm. Extraction runs under a HIPAA business associate agreement with zero retention, and your data never trains shared models.