Your Medical Bill Advocate
Blog
These medical bills advocacy articles will help you save money on your health insurance and denied medical claims.
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
Adding a Family Member to Your Insurance Policy
As life changes, so do your healthcare needs. Whether you’ve just gotten married, welcomed a new baby, or have other family changes, you may find yourself wondering how to add
Your Voice, Your Rights: How Medical Insurance Advocacy Can Make a Difference
In today’s complex healthcare landscape, understanding and navigating the intricacies of medical insurance can be a daunting task for individuals and families. However, there is a powerful ally in the
$144,000 Medical Bill Reduced With No Health Insurance Plan
I’m working on a case that just came to me and the bill’s $144,000 and the client had no health insurance. He doesn’t have any health insurance at all. So
Unveiling the Power of Medical Insurance Advocacy: A Comprehensive Guide
In today’s complex healthcare landscape, understanding and navigating medical insurance can be overwhelming for individuals and families. However, a beacon of hope exists in the form of medical insurance advocacy.
What if it Wasn’t Medical Necessary, But You’re Billed?
I have to tell you right now I am receiving quite a few clients whose insurance company is saying it wasn’t medically necessary for you to be in the hospital,
Unlocking Access to Healthcare
Access to healthcare is a fundamental human right, yet numerous barriers often impede individuals from receiving the care they need. Medical insurance complexities, claim denials, and limited understanding of coverage
$25,000 Medical Fee Reduced to $1,700 Due to the No Surprise Act
I don’t know if anybody heard about this, but January 1st, 2022, a new bill was passed. It’s called the No Surprise Act. It is a national, um, uh, act.
Understanding the Claim Denial Process: How Advocates Can Help You Overcome Obstacles
Dealing with claim denials can be frustrating and overwhelming for individuals navigating the complex world of medical insurance. However, insurance advocates play a vital role in helping patients understand the
Who’s Responsible for Preauthorization for Your Medical Procedure?
if a provider does not have pre-authorization for services rendered, which are usually the following procedures, surgery when they’re, uh, doing a procedure and they have to put dye in
Strengthening Medical Insurance Advocacy through Partnerships
In the complex landscape of healthcare and insurance, collaboration is key to overcoming challenges and achieving meaningful change. Medical insurance advocacy is no exception. Collaborative partnerships between medical insurance advocates,
Outdated CPT Codes May Cost You Thousands
Believe it or not, some medical providers are still using outdated CPT or ICD nine codes. A C P T code is the procedure performed and the I C D
Why Insurance Companies Deny Medical Claims
Hospital codes, such as Current Procedural Terminology (CPT) codes and International Classification of Diseases (ICD) codes, play a pivotal role in accurately documenting medical procedures and diagnoses. However, using incorrect
What If Your Provider Does Not Send Out the Bill on Time to the Insurance Company?
Have you ever been in a situation where your provider did not send the bill out to the insurance company on time? Insurance company usually demand that they receive the
The Human Side of Insurance
The healthcare journey can be complex, overwhelming, and emotionally challenging for individuals and families. Amidst the complexities of insurance, medical insurance advocates emerge as a beacon of hope, providing personalized
How to Avoid Paying the Same Medical Bill Twice
If it’s possible, I highly recommend that you keep track of claims that you have received and paid. It’s always best not to pay your medical provider until you receive
The Denial of Medical Claims by Insurance Companies: A Critical Examination
Medical insurance is designed to provide individuals with financial protection and access to necessary healthcare services. However, one of the most significant challenges faced by patients is the denial of