Some people purchase insurance policies that they think will cover everything. I had a case recently where the policy did not cover for any hospitalization. The original bill was $67,000 and thank you. After negotiations, I was able to bring it down to $6,000. That was a savings of $61,000. If you need help, I’m […]
Your Insurance Company Will Not Cover Everything Read More »
In the midst of your fight against cancer, the last thing you should be battling is a mountain of paperwork. A specialized medical billing advocate for cancer treatment bills is not a luxury; it’s a critical member of your care team. You’re focusing all your energy on healing, yet a second, relentless battle is being
Your Ally: Medical Billing Advocate for Cancer Treatment Bills Read More »
When people decide that they want to take a Medicare Advantage plan, they do not realize that so many hospitals are no longer accepting the Advantage plans. I recently had a case where the person was admitted to the hospital. The hospital was participating and accepted a Medicare Advantage plan, but within two days after
Are You Really Covered by Your Medicare Advantage Plan? Read More »
A case recently involved my client being in a hospital for emergency brain tumor surgery. They had a policy through the Affordable Care Act in New York State, and I could not believe that they were denying the claims. It took about 10 months to cover to turn the case over, but finally, the bill
Denied Medical Claim While on Health Marketplace Read More »
Searching for top rated patient advocates for claim denials feels like looking for a ghost. You’ve just received that soul-crushing denial letter—a cold, bureaucratic gut-punch that feels like a final verdict. The insurance company has thrown up a brick wall, cloaked in confusing jargon, and left you feeling powerless, panicked, and completely alone. This isn’t
Top Rated Patient Advocates for Claim Denials: Don’t Hire Yet Read More »
You know, much too often people purchase travel insurance and they come here, the United States. Every case that has come to me when the visitor is in the United States, they always wind up in emergency room and they’re hospitalized for a pre-existing condition, which is always an exclusion on the policy. I’ve recently
Medical Bill Reduced from $150,000 to $5,000 With Travel Insurance Read More »
I hope you’re having a fabulous day today. It is so difficult to fight for coverages when your company is so large and they have a self-funded, self-insured or risk plan. Many employers do not want to pay large claims for recent hired employees unless they are so well liked that the employer is willing
Are New Employees Covered by Self Insurance Coverage? Read More »
Navigating the murky waters of the healthcare system can feel like you’re drowning. The debate over a patient advocate vs medical billing advocate is more than semantics; it’s about choosing the right champion for your specific battle. You’re facing a mountain of incomprehensible paperwork, cryptic denial letters from your insurer, and bills that read like
Patient Advocate vs Medical Billing Advocate: Read This First Read More »
I recently had a case where surgery was required. None of the in-network providers were able to perform the services. It took four months, but we were finally able to get a single case agreement with an out of network provider, and the insurance company finally agreed to pay the in-network fees. If you ever
Out of Network Providers Can Still be Paid by Insurance Read More »
One of my recent clients was informed the provider was in network. They went for the surgery and later found out that the provider was really out of network and they were never covered. The fact that they were misinformed, I was able to get the bill from $29,000 down to zero due to their
Misinformed About What Medical Insurance Covers Read More »