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if a provider does not have pre-authorization for services rendered, which are usually the following procedures, surgery when they’re, uh, doing a procedure and they have to put dye in you, MRI, CAT scan, and, and also involving many other services, your claim is going to be denied if you didn’t have pre-authorization. I recently […]

Believe it or not, some medical providers are still using outdated CPT or ICD nine codes. A C P T code is the procedure performed and the I C D nine codes are no longer in existence. Now they have these I C D 10 codes and the I C D is your diagnosis. The

Have you ever been in a situation where your provider did not send the bill out to the insurance company on time?  Insurance company usually demand that they receive the bills for services within 3, 4, 6, 9 or 12 months. So this client was directed and was billed over $75,000. When we discussed this

If it’s possible, I highly recommend that you keep track of claims that you have received and paid. It’s always best not to pay your medical provider until you receive the explanation of benefits. Sometimes providers duplicate the bills and occasionally they’re paid twice. I had a case recently where they were paid by the

I recently had a case where the provider did not have medical records for which they were billing the patient for. It was very difficult for them to not be able to find any medical records, even though they kept on billing my client over $25,000. So there was a lot of fighting back and

I have to tell you, you know, this is crazy out there. People do not realize when they’re, when they turn 65 and they think, oh, this is gonna be great. If I go on a Medicare Advantage plan, let me tell you, if you wind up in a rehab, it’s not great because they

I recently had insured reach out to me since they were built for services, never rendered. It was difficult to prove, but luckily, by examining the medical records, we were able to reduce the bill from $11,000 to only $2,000. If you’re ever having problems with your medical bills, please call me, Adria, Medwise Insurance

I recently overturned the case where the patient forgot to submit premium due to cancer treatment. You know what happens is when you’re going through the treatment, your brain really becomes clouded and you can’t think straight. So thank God after speaking with the insurance company, we were able to pay the missed premiums and

I’ve had people call me up and request assistance since they had medical service rendered out of the country and when we return to the United States, they still needed medical services. Due to complications of the surgeries performed overseas, I was able to reduce a, a bill recently down to 25%. The original USA

All too often you could be receiving a bill from the emergency room. Since the providers were out of network, you know, a lot of times the hospitals will cover you, but the pro provide the providers in the emergency room, were totally out of network. So I was recently able to reduce a bill