Has your health insurance been incorrectly terminated? Too many times you are paying your health insurance premium and there’s an error on behalf of your insurance carrier. Your insurance carrier did not code receipt of your monthly premium, and now your claims are being denied. Call MedWise and we will straighten out the error and make sure […]
Has Your Health Insurance Been Incorrectly Terminated? Read More »
Writing a strong appeal letter can make the difference between a denied medical claim becoming your financial burden or finally getting approved by your health insurance company. Across the United States, many patients lose appeals not because the claim was impossible to win, but because the appeal letter lacked the right structure, evidence, or language.
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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 your claims are being denied, it’s always best to hire a professional to help you. I wrote a book, “Solve Curing Your Medical Insurance Problems,” to
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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 codes that is on your itemized bill. Very often, you’re able to get a discount if you can prove that the provider is billing you a
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First-level vs second-level appeals can determine whether a denied medical claim gets paid or remains your financial responsibility. Many people across the United States give up after the first denial because they assume the insurance company has the final word. That assumption can become expensive very quickly. A denied claim does not always mean the
First-Level vs Second-Level Appeals for Denied Medical Claims Read More »
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 paying the claim reimbursement. My client finally realizes this, and when I spoke with the insurance carrier, they stated the paperwork was never submitted on
How I Saved Her $16,000 Read More »
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 to, their first name and last name, their ID number, location, and keep notes of the entire conversation, including the date and time you spoke
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The top reasons claims get denied often have little to do with the patient’s actual medical condition. Across the United States, thousands of people open medical bills expecting coverage, only to discover their health insurance company rejected the claim for technicalities, missing information, authorization issues, or coding errors. That denial can quickly spiral into collection
Top Reasons Claims Get Denied and How to Fight Back Read More »
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 are covered and not covered for on your health insurance policy. When I am appealing your claims, this information will help me to better understand your
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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 advance how much your procedure will cost, and you should never be billed more than that amount. Please ask for it in writing, and I’m here
What is a Good Faith Estimate Read More »