Blogs - Medical Bill Advocate

From Denying Claims to Patient Advocate, Adria Gross on Navigating Medical Insurance

https://vimeo.com/1014535586?share=copy Interview Participants: Edison Guzman (interviewer) and Adria Gross from Medical Insurance Advocacy (interviewee). Adria’s Background: Worked for two insurance companies where she was trained to deny claims. Gained extensive knowledge about insurance policies, including coverage details, premiums, deductibles, and copays. Transitioned from working within insurance companies to advocating for individuals with denied claims. Services […]

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What Does Adria Gross Do as a Medical Insurance Advocate?

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In this interview, Edison Guzman speaks with Adria Gross, a seasoned health insurance expert and founder of Medwise Insurance Advocacy. Adria shares insights from her 30+ years of experience in the health insurance industry, starting from her time working for insurance companies where she learned how claims were denied. Over time, she transitioned to becoming

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Saved over $80,000 in Severe Depression Medical Bills

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I hope everything’s going well for you. Janet, a client of mine who’s in my recent book, apparently different discusses how we should treat a person who is apparently different. Janet has had years of depression, which causes severe mental health. She has a borderline personality disorder, but I have to tell you this, her

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Medicare Advantage Plans Are not Accepted by 75% of Doctors

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You know, 50% of the doctors and hospitals no longer accept the Medicare Advantage plans. You have only one Medicare card if you have the Medicare Advantage plans. But the issue is if you wind up in a rehab and if they’re using AI at the insurance company, artificial intelligence, within three days after you

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How to Determine if a Medical Procedure or Medication is Covered

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Navigating the intricacies of health insurance can be a daunting task, especially when you’re trying to figure out if a particular medical procedure or medication is covered under your plan. Knowing what is and isn’t covered can save you from unexpected medical bills and ensure that you’re getting the most out of your insurance. This

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$250,000 Insurance Claim Denied When Turned Age 65?

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I recently received a phone call from an attorney where the health insurance carrier never informed the patient that at the age of 65 they needed to switch over to Medicare. So here’s a case where the person paid over $250,000, which the insurance company kept. Well, I could think about how incredibly unfair it

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A Little Love Inspires Everyone

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Hello, everybody in my book apparently Different. There’s a chapter about Allison Murphy. The title of the chapter is Allie. A Little Love Inspires everyone. I’ve known Allie since she was an infant. She and my son were both in early intervention. Allie was born with cerebral palsy. She has been in a wheelchair her

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How Does Your Health Insurance Plan Handle Pre-existing Conditions?

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Understanding how your health insurance plan handles pre-existing conditions is crucial, especially if you or a family member have a chronic illness or a medical history that needs ongoing care. This blog post aims to guide you through the complexities of insurance coverage for pre-existing conditions, offering advice on what to look for and the

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Mix Up With Overlapping Insurance

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I hope you’re having a fabulous day. Too many times I have seen cases where there’s a mix up on one medical insurer overlapping another one. So I recently had a situation where my client paid over $20,000 in double premiums for these two that were overlapping. If this ever happens to you, call me.

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Why Medicare May Not Cover Your Rehab Expenses

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I hope you’re having a fabulous day. So you’re in the hospital and now you need to go to a rehab when you leave the hospital. So please make sure that the hospital had you in the hospital as an inpatient for three midnights or more. If you do not have three midnights in a

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