In this insightful interview, Edison Guzman speaks with Adria Gross, founder of Medwise Insurance Advocacy, about the challenges and solutions surrounding denied medical claims. Adria shares her expertise as a former insurance claims processor who now helps individuals fight back against unjust claim denials. The discussion begins with common reasons for claim denials, including procedural […]
Why Medical Insurance Companies Deny Claims Read More »
I recently had a client with bills over $400,000 involving cancer. I was so excited to be able to reduce that bill down to $19,000, which is being paid over a three-year period. If you ever need help, please call me, Adrian at Medwise Insurance Advocacy. Thank you. https://vimeo.com/1016210071?share=copy#t=0
$400,000 Cancer Bills Reduced to $19,000 Read More »
One of my clients recently had a bill for $135,000. This was a faith-based coverage, which, of course, is not handled through an insurance company. It was a long, drawn-out fight to get this settled, but thankfully, the hospital agreed to $20,000, and my client was able to get funding from his family to pay
$135,000 Medical Bill Was Finally Settled Down to $20,000 Read More »
One of the chapters in my book, Apparently Different, is titled A Prisoner in My Own Body from Traumatic Brain Injury. My client was water skiing at the age of 16 and wound up injuring themselves, becoming, I hate to say this, partially paralyzed, and believe it or not, they even went into a coma. I hope
Water Skiing Accident Turns Into Denied Medical Charges Read More »
I have to say this is one of the worst stories I ever heard. My client was raped, and the bills were over $82,000. The case went to court, and finally, the judge she went before felt so sorry for her. They were able to arrange for the bill to be written off, and it
Medical Bills for Rape Were Written Off Because of This Read More »
I had a client who had a very serious infection in her large intestines. The surgery was performed, which her insurance company said wasn’t medically necessary. The bills were over $60,000, and when I was able to prove that it was medically necessary and what could happen to my client if the procedure was never
Surgery for Large Intestine Medical Bill Denied Was Approved After This Read More »
Have you ever heard of spina bifida? It’s a birth defect in which a developing baby’s spinal cord fails to develop properly. It occurs when a developing baby’s spinal cord fails to develop or close properly while it’s in the womb. There is no cure for spina bifida, but there are treatments for related conditions. Spina
Need Help With Surgery Bills Watch this Read More »
By Heather Sullivan – Published December 9, 2024 10:27am CST – Sullivan’s Smart Sense FOX 26 Houston The murder of UnitedHealthcare CEO Brian Thompson, and the suspicion that it may have been over insurance claim denials, is shining a new spotlight on the issue. There’s no way to know what percentage of health insurance claims are denied, as carriers are not
Tips for Reversing Health Insurance Claims Denials Read More »
You know, you ride a bike, and please God, may this never happen to you—have a very bad car accident. So due to that accident, this is what I’ve seen happening: You lose your job. You do not have any health insurance. If this ever happens to you, please reach out to Medwise, and I am sure
Car Accident Medical Claims Not Paid Read More »
You know, I have seen so many denials for mental health. Very often, someone is unable to receive 24-hour facility coverage, and sometimes even when it comes to outpatient therapy, some insurance companies refuse to cover the services. If you are in that position, please call me, and let’s try to get those claims paid. I’ll
Mental Health Facility Coverage Denied Read More »