Massachusetts Section 19A Medical Mediation Agreement is a contract that outlines the terms and conditions of a negotiated agreement between medical providers and insurance companies, typically as part of a dispute or discussion about medical costs or services. It is used to resolve disputes between the two parties without going to court. The agreement requires both parties to make a good faith effort to resolve any issues that arise, and the mediator is responsible for keeping the process confidential and impartial. There are two types of Massachusetts Section 19A Medical Mediation Agreements: pre-litigation agreement and post-litigation agreement. A pre-litigation agreement is an agreement between the two parties prior to any court action being taken, while a post-litigation agreement is an agreement reached after a court action has been taken. Both types of agreements require the parties to make a good faith effort to resolve issues and are overseen by a mediator.