Blog - Medical Bill Advocate

Understanding Deductibles, Co-pays, and Coinsurance

Navigating the world of health insurance can feel like deciphering a foreign language. Terms like “deductible,” “co-pay,” and “coinsurance” are frequently used, but their meanings are often misunderstood. At Medwise Insurance Advocacy, we believe that understanding these key concepts is crucial for managing your healthcare expenses effectively. This blog post will break down these terms […]

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Explanation of Benefits Letter Denies Your Claim

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You are treated and preauthorized for a medical procedure. You go to the hospital where the procedure will take place. They perform the procedure, but then you receive an explanation of benefits from the insurance company stating that the procedure was not medically necessary. I recently overturned a case where the bill was $28,000, and the

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Denied Medical Claim Because of Non-Preauthorization

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Have you ever been in a situation where you were never informed that a pre-authorization was required? Well, this claim was denied because my client did not have pre-authorization. If this happens to you, please reach out to Medwise. I recently overturned a case that was over $60,000. Please call me, Adria at Medwise Insurance

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Common Medical Billing Errors to Watch Out For

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Medical billing can be a minefield of codes, jargon, and potential errors. At Medwise Insurance Advocacy, we understand how frustrating and overwhelming it can be to decipher medical bills and ensure their accuracy. This blog post will highlight some of the most common medical billing errors to watch out for, empowering you to take control

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Twisted Intestine $150,000 Bill Reduced to $10,000

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You know, it took quite a bit of time, but my client who had a twisted intestine with a medical debt of over $150,000—I was finally able to prove that there was no way my client could afford to pay that amount. Thank goodness, I brought her bill down to $10,000. She took a loan

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Emergency Room for $8,000 Turns to Zero

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My client in California went to the emergency room and received a bill for over $5,000. But believe it or not, every month she received a bill that added additional charges of over a thousand dollars a month. Her policy was Medicaid, and when I was able to prove that she could not afford the

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Navigating In-Network vs. Out-of-Network Costs

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Healthcare costs can be confusing, especially when it comes to understanding the difference between in-network and out-of-network providers. At Medwise Insurance Advocacy, we’re dedicated to helping you navigate these complexities and make informed decisions about your healthcare. This blog post will explain the distinctions between in-network and out-of-network costs, empowering you to minimize your out-of-pocket

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Out of Network Hospital Bills Denied

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You vomit and have diarrhea. You go to the emergency room, and the hospital does all these medical tests on you. You were in the hospital for three days only being treated, and now the hospital is saying to you that they were out of network. Wow. I was able to overturn the case and save

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$60,000 Breast Cancer Bills Down to $2,100

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I recently had a case where my client had breast cancer, and her bills were over $60,000. Her oncologist was fighting, not accepting a lower amount. When I was able to prove that there was no way she would be able to afford to pay this bill, we went from $60,000 to $2,100. So if you

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Decoding Your EOB (Explanation of Benefits)

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At Medwise Insurance Advocacy, we understand that navigating the world of medical bills and insurance can be overwhelming. One of the most confusing, yet essential, documents you’ll encounter is the Explanation of Benefits (EOB). It’s not a bill itself, but rather a breakdown of how your insurance company processed a claim. Think of it as

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