Faith-Based Health Cost Sharing Vs. Associated Health Plans

Taking care of our health can be a costly endeavor. The ability to pay can become a matter of life and death if bills rack up over long term care that falls into collections. That is why having insurance is so important during unexpected emergencies or when someone has a chronic illness. Medwise Insurance Advocacy, […]

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What is Hospital Upcoding

Hospital upcoding, which is claiming a higher level of patient severity in order to obtain a higher insurance payment, is a major issue. One study estimates that increased upcoding relative to a decade earlier was associated with $14.6 billion in hospital payments. I have people calling me about this, where they feel that they were

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How to Win at Filing a Complaint Against a Health Insurance Company

The frustration is suffocating. When it comes to filing a complaint against a health insurance company, you’re not just fighting a denial; you’re battling a system designed to exhaust you. The endless phone trees, the vague explanations, the soul-crushing bureaucracy—it feels intentional. This guide isn’t about simply filling out forms. It’s about turning their own

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Difference Between in-network and out-of-network Charges SCAM

That gut-wrenching moment you open a medical bill and see a number so staggering it feels like a typo isn’t an accident. Understanding the difference between in-network and out-of-network charges is the only defense you have against a system that profits from your confusion. This isn’t just about healthcare; it’s about protecting your financial future

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Was Your Medical Claim Denied Even After pre-Authorization?

You know, insurers are becoming increasingly adept in using technology to deny payment of medical claims and pressure their company physicians to deny care during prior authorization reviews. Doctors are reporting spending increasing amounts of time on the phone with insurance company physicians over denials of care for their patients, even when a pre-authorization is

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