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 »
If you’ve ever faced a challenging insurance claim, you know how complex and overwhelming the process can be. From confusing jargon to lengthy paperwork and frustrating denials, dealing with insurance claims can quickly become a full-time job. That’s where an insurance claim advocate comes in—a trained professional with expertise in navigating the claims process, ensuring
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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 »
As the CEO and founder of MedWise Insurance Advocacy, I have dedicated my career to assisting individuals in overcoming these challenges. Drawing from over 25 years of experience in the insurance industry, I understand the intricacies of medical billing and the frustration that comes with claim denials. Understanding Insurance Denials Insurance claim denials occur for
Understanding Insurance Denials 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 »
Even with comprehensive coverage, many individuals find themselves facing significant out-of-pocket expenses. This is where a health insurance advocate becomes invaluable, guiding patients through the intricate healthcare system and ensuring they receive the benefits they’re entitled to. Understanding the Role of a Health Insurance Advocate A health insurance advocate is a professional dedicated to assisting
Why Consult a Health Insurance Advocate? Read More »