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.
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Outdated CPT Codes May Cost You Thousands
Believe it or not, some medical providers are still using outdated CPT or ICD nine codes.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
$25,000 Medical Claim Reduced to Zero With This
I recently had a case where the provider did not have medical records for which they were billing the patient for. It was very difficult for them to not be
How Incorrect Medical Codes Can Lead to Denied Insurance Claims
In the realm of medical practices, accurate coding is crucial for successful insurance claims. Incorrectly assigning medical codes can have far-reaching consequences, potentially resulting in denied insurance claims. This article
Medicare Advantage Plan May be an Issue for Nursing Homes
I have to tell you, you know, this is crazy out there. People do not realize when they’re, when they turn 65 and they think, oh, this is gonna be
Securing a Brighter Healthcare Future: The Power of Insurance Advocacy
In today’s complex healthcare landscape, navigating insurance systems and accessing quality care can be daunting for individuals and families. However, the power of insurance advocacy emerges as a transformative force,
Billed for Services Never Rendered? We Can Help.
I recently had insured reach out to me since they were built for services, never rendered. It was difficult to prove, but luckily, by examining the medical records, we were
Protecting Patients’ Interests: The Essential Role of Medical Insurance Advocacy
In the complex world of healthcare, navigating the intricacies of medical insurance can be a daunting task for patients. However, there is a powerful ally in the form of medical
What to Do if Medical Claim Not Paid Due to Missed Insurance Payment
I recently overturned the case where the patient forgot to submit premium due to cancer treatment. You know what happens is when you’re going through the treatment, your brain really
Maximizing Your Benefits: The Benefits of Medical Insurance Advocacy
Medical insurance is a crucial component of accessing healthcare services, providing financial protection and coverage for medical expenses. However, understanding and maximizing the benefits of medical insurance can be a
Complications Due to Overseas Medical Bills?
I’ve had people call me up and request assistance since they had medical service rendered out of the country and when we return to the United States, they still needed
From Denial to Approval: How Insurance Advocates Fight for Your Claims
Dealing with the denial of an insurance claim can be a frustrating and disheartening experience for individuals seeking essential healthcare services. However, there is hope in the form of insurance
$17,000 Emergency Room Bill Reduced to CoPay
All too often you could be receiving a bill from the emergency room. Since the providers were out of network, you know, a lot of times the hospitals will cover
Empathy, Expertise, and Results: The Three Pillars of Medical Insurance Advocacy
Medical insurance advocacy is a powerful force that supports patients in navigating the complex healthcare landscape. Insurance advocates, armed with empathy, expertise, and a drive for results, play a crucial
Bills Went to Collections, but Never Received from Hospital?
Have you ever been in a situation where you receive a bill from a collection agency and never from the medical provider? I have a case where my client is
Embracing Diversity and Inclusion in Medical Insurance Advocacy
Diversity and inclusion are fundamental principles that should be embraced in all aspects of society, including the field of medical insurance advocacy. Recognizing and valuing diversity within the advocacy landscape
If Your Medication is Not Covered by Insurance, Do This
Medication’s not covered on your plan. You can go online and try to order the medication in Canada. Take a look at, certified International Canadian Pharmacy and pharmacychecker.com. What’s happening
Embracing Digital Transformation: The Evolution of Medical Insurance Advocacy
In an era of rapid technological advancements, digital transformation has become a driving force in revolutionizing various industries, including healthcare. Medical insurance advocacy, a vital aspect of the healthcare system,
$27,000 in Medication Expenses Reduced to $0
I had a recent case where the medication was not covered on the patient’s health insurance policy. After reaching out to the pharmaceutical company that manufactures that medication, I was
Decoding Hospital Codes: Understanding Their Role in Medical Procedures and Insurance Claims
Within the healthcare system, hospital codes play a crucial role in ensuring accurate documentation, billing, and reimbursement for medical procedures. These codes, such as Current Procedural Terminology (CPT) codes and