So, you know when a provider’s telling you that they’re definitely a network and all you’re going to have is this small copay, make sure you get all that information writing before you allow that surgeon to perform the services. I recently overturned a case where my client was being gouged. The doctor received $5,000 …
Hey everyone, this is Edison Guzman with Adria Gross. How are you today? Adria? Nice and sunny and beautiful. Excellent. What do you have for us today? So a recent client was having issues with the balance that he was being charged. He had to see a doctor three times a week and his bills were …
How Adria Saved Client $18,000 on Frequent Doctor Visit Invoices Read More »
One of my clients was seeing a psychiatrist and also psychologist and I just want to give you some information. You don’t know it yet. Psychology bills normally range between $600 to $250 a visit and psychiatric bills are usually for psychiatrists. They’re usually between per visit between $200 to $500. So this client was being charged a thousand dollars per visit. She never …
one of my clients had to have a major surgery performed and they were not informed in advance that she was going to be liable for $27,000. I contacted her doctor and the insurance company. It was a tremendous amount of work, but I was able to finally save her the $27,000. And I was able to have the surgeon paid in full by the …
Liable for $27,000 Gets Reduced to $0 and Surgeon is Paid in Full Read More »
If a procedure is an emergency, there’s been laws in States and all began when New York states started the surprise Bill law April 1st 2015, April Fool’s Day. One of my clients had excellent coverage and need emergency surgery. She even had multiple types of coverage. She did not just one policy. So the insurers paid …
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 …
How to Get a $25,000 Medical Bill Paid if Denied by Health Insurance Read More »
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 …
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 …
$500,000 Out of State Medical Bill Gets Covered in Full Read More »
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 …
Out of Network Gynecologist Gets Paid Even with an HMO Policy Read More »
I don’t know if he ever heard of this one, but cyber knife radio surgery I handle the case recently and was able to get my client covered for a hundred thousand dollars. You have to be careful as for what your insurance policy will cover. Every insurance policy differs on what they’ll cover. You …
MedWise Insurance Advocacy
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adria@medicalinsuranceadvocacy.com
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