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.
Where You Charged for Your Annual Wellness Care Bill?
You know, all too often people call me up with a procedure that they never expected to pay. On our policies, we have WellCare visits, which are usually handled annually.
Can Support Groups Help With Your Medical Condition?
You know, sometimes people are so emotional about their condition. I often try to find them support groups and other social support to enable my clients to receive help with
How to Appeal a Medical Claim Denial
I work daily with people facing one of the most frustrating aspects of healthcare: the dreaded insurance denial. Receiving a letter stating your medical claim won’t be paid can induce
Traumatic Brain Injury Medical Bills
You incur a traumatic brain injury and wind up in a subacute care facility. Now you are no longer making sufficient progress, which I’m really sorry when that happens, and
What to do if Your Surgeon is Not Covered by Insurance
Well, you’re about to have surgery. Everything is scheduled for you in advance. Your insurance company has already approved you, but now at the last minute, you’re being contacted by
How CPT Code Errors Can Lead to Medical Claim Denials
If you’ve ever looked closely at a medical bill or an Explanation of Benefits (EOB), you’ve likely seen lines filled with five-digit numbers. These aren’t random sequences; they are crucial
What If Your Insurer Ask for Their Money Back
Many people are reaching out to me when everything was scheduled for their surgery, and they undergo the procedure. Six to 12 months later go by, and now the insurer
What You Need to Know About Insurance Before Turning 65
I’ve had many cases in the past five years involving people working after the age of 65. If your employer has less than 20 employees, when you turn 65, there’s
Insurance Claim Denied? Don’t Give Up! Steps to Get Denied Medical Claims Paid
For years, I’ve helped clients navigate the complex world of health insurance. One of the most disheartening moments for any patient is receiving that notice: “Your claim has been denied.”
Decoding Your Hospital Bill – Understanding CPT Codes, EOBs, and Overcharges
Feeling lost or outraged when you look at a hospital bill? You’re not alone, and help is here! Watch this crucial interview with Edison Guzman and insurance advocate Adria Gross
Heart Surgery Recommendation Was Not Necessary
One of my clients was told he had to have heart surgery. He went through multiple tests and when he went back to the cardiologist, he was recommended multiple times
Struggling with Medical Bills? You Have Options
As the founder of Medwise Insurance Advocacy, I’ve spent years helping countless individuals navigate the often-turbulent waters of healthcare costs. One of the most common and stressful situations people face
Do This to Know What’s Covered in Your Policy
Insurance companies very often give you a brochure or it’s like a six to 10 page, so-called policy, which describes what’s covered and what’s not covered on the policy. On
Need a Second Opinion for Orthopedic Surgeon?
Years ago I had a baker cyst on my right knee. I went to an orthopedic doctor who drained my knee three times. The fluid kept on coming back. He
Overwhelmed by Medical Bills? You’re Not Alone
For years, through Medwise Insurance Advocacy, I’ve dedicated my career to helping patients navigate the often confusing and overwhelming world of medical bills and health insurance. If you’ve ever opened
$52,000 Overturned After 3 Times Denied Medical Claim
I have to tell you many times I have people come to me where they know that their medical bill should be covered. According to the health insurance policy, very
Knowing Your Patients Rights Saves Over $34,000
Being a patient advocate, I’m always concerned about patient’s rights and protect them from unfair billing practices. If I see a case where there are issues with medical billing, I
How Medical Claim Laws Will Affect You in the Future
The healthcare landscape is constantly evolving, and with it, the laws governing medical claims. As a patient, it’s essential to stay informed about these changes to ensure you receive the
How I Reduced a Medical Bill from $40,000 to $2,000
You know, being in the health insurance industry for over 30 years, I am quite successful in negotiating medical bills. In many cases, I normally get 80% off the bill,
Why You Need to Read Your Insurance Policy
You know, it’s so important that you take the time to read your insurance policy. When I was working for two insurance companies, I helped write those insurance policies. You
Getting Medically Covered When Traveling Outside of the Country
Traveling outside of the country can be a great way to experience new cultures and see new places. However, it is important to be aware of the potential risks associated
What to do If Emergency Room is Out of Network
You know I recently spoke to a friend who works for a major corporation on her policy. Every emergency room visit is considered to be out of network. Instead of
What to do If Emergency Room is Out of Network
I recently spoke to a friend who works for a major corporation on her policy every emergency room visit is considered to be out of network instead of going to
How to Get Your Medical Bills Paid After a Denial of Benefits
Receiving a denial of benefits for your medical bills can be a frustrating and confusing experience. However, it is important to remember that you have rights as a patient, and
$29,000 for Two Emergency Room Visits?
A recent case I worked on the client was charged for two of emergency room visits a total of 29,000 when I looked at the reasonable customer charges I realize
How $50,000 in Medical Debt Went Down to $0
One of my clients have denied claim with the original charges were over $50,000 when I was able to prove that those charges should be covered according to the wording
Why You Need a Medical Billing Advocate When Insurance Says “No”
Navigating the labyrinth of medical billing can feel like deciphering an alien language. One minute you’re recovering from a procedure, the next you’re staring at a denial letter from your
What’s the Best Type of Drug Plan for You and Your Family?
In today’s world, understanding your health insurance can feel like deciphering a complex code. When it comes to drug plans, the confusion only deepens. That’s why we sat down with
Medical Bill Issues
Hello everyone. Hydrocephalus is water on the brain, and many times it occurs as a result of an injury. If you’re having issues with your medical charges or coverage for medication,
The Power of Price Transparency – Taking Control of Your Healthcare Costs
Healthcare costs can be unpredictable and often feel opaque. You might know you need a procedure, but have no idea what it will actually cost until you receive a surprise