Your Medical Bill Advocate
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These medical bills advocacy articles will help you save money on your health insurance and denied medical claims.
Multiple Insurers and Confused Who Pays First?
Good day everyone. Many people are confused when they have multiple insurance carriers. You have to know who is your primary, who is your secondary, and who is your tertiary.
Not Getting Properly Reimbursed for Medical Bill Expenses?
Good day, I hope. I hope you’re having the most positive day ever. People come to me when it’s not too positive, so sometimes your health insurance carrier is not
Out of Network Medical Bills Either Reduced or Written Off With This
Hi everyone. Uh, you’re in the hospital with colitis and the hospital and doctors are outta network. Please remember, out of network, think of Medwise. You might be able to
Can’t Afford Your Huge Medical Debt?
Good morning. I hope you’re doing great today. If you owe a huge medical debt on a hospital bill and you are unable to pay for it, please call me.
Surprise Medical Bill?
I hope you’re having a terrific day today. If you have received a surprise medical bill, please call me. If someone is outta network and you’re in the emergency room,
At A Nursing Care Facility with Medicare Advantage Plan?
Hello everyone. Recently I received many phone calls for people who purchase a Medicare Advantage plan. Rather than having a Medicare coverage with a supplement and a prescription plan, I
Out of Network Provider Not Submitted Your Medical Bills on Time?
I hope you’re having a fabulous day. Have you been seen by an out of network provider who has not submitted your medical bills on time? If, you have not
Hip Replacement With Authorization Was Denied
I hope you’re having a great day. Uh, you know, one of my recent clients had hip replacement and there was pre-authorization for the hip replacement and it was supposed
Denied Medical Bills Over $90,000 Overturned
Hello everyone. I had a recent case where this person kept on receiving denied medical bills and they had excessive billing from the providers. To make things even worse, his
Out of Network Emergency Room Covered?
I recently had a client who wound up in emergency room in a hospital, which was out of network since the ambulance took them right to the out-of-Network Emergency Room.
Incorrect Billing Resulted in $2,000 Overcharge
I recently handled a claim where they felt the billing was incorrect. The mother gave birth to this little baby boy. She received a bill from a private office, which
Broken Jaw Medical Bill Denied Because Not Medically Necessary?
I was recently able to help a family who had $35,000 worth of bills. They had a fall, broke their jaw, and believe it or not, this also involved multiple
15 Providers Out of Network Denying Your Medical Claims?
I recently worked with a client who had 15 different providers, and this case was like around 270 to 300 claims. They were denied as out-of-network. She also had limited
Who Covers When Multiple Insurance Policies?
I had a case recently involving three insurance companies. The insured was working as a New York City police, and his wife was covered under his plan it the beginning.
Wheelchair Medical Expense Not Covered?
I was referred a client who was unable to get a wheelchair through his health insurance plan. It was interesting that the reason for that is the insurance company thought
Hospital Bill Determined as Not Medically Necessary?
I hope you’re having a beautiful day today. I had a case recently where the gentleman was in the hospital due to severe leg pain. He spent two nights at
Overnight Medical Bill for $43,000 Fully Covered
Hi everyone. I gotta share this story with you. A gentleman was experiencing major pain, which involved kidney stones. He was kept in the hospital overnight and the pill was
What If You’re Unable to use Generic Medication?
I hate to say this, but too often you are unable to be on a generic drug for your condition. If this happens to you, please ask your doctor to
Saved $600 Per Month for Compound Pharmacy Medication
If you go to a compound pharmacy for medication and they do not submit the bill to your prescription plan, please do not ignore the possibility of receiving reimbursement for
Filing a Medical Insurance Claim
Dealing with medical issues can be stressful enough without adding the complexities of insurance paperwork. However, understanding the process of filing a medical insurance claim is essential for ensuring you
Not Covered After Being Told That You’re Covered?
A recent client was informed by the surgeon’s office prior to the surgery that my client was covered for this upcoming surgery. Well, guess what? He was not covered, so
Covid Client Billed $54,000 With No Insurance Reduced to $0
I recently had a Covid client. They were being billed $54,000, but the sad thing was they had no insurance, and at that point, even the government stopped covering the
Do I Need a Referral to See a Specialist
Navigating the healthcare landscape can be complicated, especially when you need specialized care. One common question many people have is whether they need a referral from a primary care physician
$500,000 Medical Bill Reduced, Even When Insurance Payout Was Insufficient
A recent client had an injury while sightseeing on a van. They had a fall and they sued the bus company and tour operator. My client received insufficient funds to
Couldn’t Pay Insurance Premiums After Brain Surgery
A recent client had brain surgery and they were so sick for a period of time, they couldn’t even read their mail and pay their health insurance, so now they’re
Prescription Drug Coverage-How it Works in Your Insurance Plan
Understanding how prescription drug coverage works in your health insurance plan can be a bit like solving a complex puzzle. Given the rising cost of medications, it’s crucial to comprehend
Case Overturned for Business Owner with No Workers Compensation
I recently overturned a case where my client was the owner of a company and he did not have workers compensation for himself. It’s not required by quite a few
Understanding “Deductible,” “Co-Pay,” and “Co-Insurance”
Health insurance can be a lifesaver in a medical emergency, but understanding the terms and conditions of your policy can feel like navigating a maze. Terms like “deductible,” “co-pay,” and
Back Surgery Bill from $380,000 Down to $18,000
I recently worked with an attorney where I was able to reduce the back surgeon’s bill from $380,000 down to 18,000. Come to me, Adrian Medwise Insurance Advocacy. I will
Appealing an Insurance Company Decision
At some point, many of us will face the frustrating situation of having an insurance claim denied or a medical service deemed “not covered” by our healthcare policy. These decisions