Your Medical Insurance Advocate

Media/Videos

These medical bills advocacy videos and case studies will help you save money on your health insurance and denied medical claims. 

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What To Do if Your Claim is Denied

Consumers should be encouraged to file formal appeals when they believe their claims are wrongfully rejected or processed. Insurance companies are usually required to provide a clear process for this. If

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Suspect Your Were Overcharged?

If you ever have any suspicion that you’re being overcharged, negotiate with the providers in the billing department. It’s always best to look at the Medicare rates according to the procedure

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How I Saved Her $16,000

An insurance carrier told my client that they can submit their claims online. Okay. My client submits the claims online, six months go by, and the insurance carrier is not

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Always Ask for the Response in Writing

Good afternoon. Every time you call your insurance carrier, ask for their response in writing. If by any chance they will not provide you with that information, ask who you’re speaking

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Always Ask for the SPD

Hello, my friends. Have you ever heard of an SPD? Summary Plan Description. Ask for this information from your health insurance carrier. This description will help you to understand what you

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What is a Good Faith Estimate

Good faith estimate requires providers to provide uninsured or self-pay patients with a good faith estimate of the total cost of care before services are rendered. I recommend always asking in

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College Insurance Pros and Cons

When a student has college insurance, that policy is a primary insurer. Sometimes the parents or guardian might still have them on their policy, which would be secondary to the

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Can Itemized Bills Save You Thousands?

To help you save a tremendous amount of money, request itemized bills to understand what you have been charged for. All too often, you’re charged for services that were never rendered,

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Unfair Medical Charges Eat Away Your Coverage

Unfair medical charges can arise from various issues, including billing errors, surprise bills from network providers, and inflated charges. To address these issues, you can start by examining your insurance coverage,

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Infertility Bill Claims Unpaid?

If you come across an unfair medical bill, the first thing you need to do is examine your insurance coverage. Review your plan, understand your  deductibles, your co-pays, your co-insurance,

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No Surprises Act Explained

The No Surprises Act became effective January 1st of 2022, and it protects consumers from surprise medical bills for emergency services and non-emergency services. It limits out-of-network cost-sharing and establishes a

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Erisa Claim Denial?

Are you now appealing an ERISA claim denial? What was the reason for your denial? Very often, the State Department of Insurance and the attorney general for your state will not assist

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Is AI Causing More Medical Claim Denials?

Artificial intelligence is changing many parts of the insurance industry, and unfortunately, some people feel they are not receiving the treatment they need because of automated claim decisions. If you’re having

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Medicare Advantage Plan Refuses Care

Congress is currently scrutinizing Medicare Advantage plans. I had a new case this week where a patient was being discharged from the hospital because of issues with her insurance coverage.

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A $32,000 Medical Claim Overturned

I hope you’re having a fantastic day. When I started in the health insurance industry in the claims department, I became a claims supervisor within a short time. During my training,

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Frustrated By Medical Insurance Denials?

Hello, my friends. You know, many people have been mistreated by insurers, or their loved ones have. When you’re frustrated by denials and get no assistance from the insurance company, it’s time

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Financial Ruins from Denied Medical Claims

Good afternoon. I hope you’re having a great day. Are you now in financial ruin because your medical claim was denied by your health insurance carrier? Many times, insurance companies deny claims even

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