Insurance Advocate

How to Get a $25,000 Medical Bill Paid if Denied by Health Insurance

How to Get a $25,000 Medical Bill Paid if Denied by Health Insurance

Hi, everyone, one of my clients had surgery and her major insurance company would not pay it. When I was able to prove that this surgery was medically necessary. That’s how they often deny saying it wasn’t medically necessary. So when I was able to prove that this surgery was medically necessary the insurance company …

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Medical Insurance Advocate and Attorney Work Together to Reduce a $370,000 Claim to $12,000

Medical Insurance Advocate and Attorney Work Together to Reduce a $370,000 Claim to $12,000

See now, I do a lot of work for law firms. They often. Call me in. I am considered to be an expert witness in cases. So this Law Firm came to me asking me to consult a case involving a surgeon’s bill for $373,000. When I was able to prove how much the provider …

Medical Insurance Advocate and Attorney Work Together to Reduce a $370,000 Claim to $12,000 Read More »

$500,000 Out of State Medical Bill Gets Covered in Full

$500,000 Out of State Medical Bill Gets Covered in Full

I worked on a case involving in New York City hospital where this person had brain surgery. Even though the hospital was paid money from her insurance company, which was out of state. She came from the Midwest to New York and her out of state insurance company paid for at the hospital was still …

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Out of Network Gynecologist Gets Paid Even with an HMO Policy

Out of Network Gynecologist Gets Paid Even with an HMO Policy

So this is a crazy case where my client had difficulty with pregnancy. She needed surgery and she found the gynecologist that was out of network. The gynecologist told my client that even though he was out of network, he would come in to do the surgery after the first surgeon made the incision. The …

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How to Reduce a $240,000 Medical Bill to $15,000 When You Have Travel Insurance

How to Reduce a $240,000 Medical Bill to $15,000 When You Have Travel Insurance

I handled a case for a client who had bills from over 15 medical providers. It has to be like maybe 17 or 18 and this is really I need to it’s good to listen to this because I’m sure you have relatives who come here to the United States and they have travel insurance. …

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The Easiest Way to Get Your Insurance Company Paying Your Claims

The Easiest Way to Get Your Insurance Company Paying Your Claims

An attorney recently brought me into a case, which was almost twelve thousand dollars. The claim was definitely payable, but the issue was the insurance company kept on denying it. Just remember, this is when you are able to prove that according to your health insurance policy this procedure is covered. You can get that …

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What to do if You Can't Use a Specific Doctor Outside of Your Network

What to do if You Can’t Use a Specific Doctor Outside of Your Network

There are times when a patient is unable to see a doctor who’s on their plan. So when this happens, it’s best to contact your insurance company and see if you can request an exception. And if you’re able to prove that there’s no other doctor who can provide these Services who’s on your plan. …

What to do if You Can’t Use a Specific Doctor Outside of Your Network Read More »

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