Your Medical Insurance Advocate
Media/Videos
These medical bills advocacy videos and case studies will help you save money on your health insurance and denied medical claims.
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Hip Replacement With Authorization Was Denied
I hope you’re having a great day. Uh, you know, one of my recent clients had hip replacement and there was pre-authorization for the hip replacement and it was supposed
Denied Medical Bills Over $90,000 Overturned
Hello everyone. I had a recent case where this person kept on receiving denied medical bills and they had excessive billing from the providers. To make things even worse, his
Out of Network Emergency Room Covered?
I recently had a client who wound up in emergency room in a hospital, which was out of network since the ambulance took them right to the out-of-Network Emergency Room.
Rehab and $52,000 Hospital Bill Covered
I hope you’re having enjoying yourselves and all is going well. Well, one of my clients was in an out of network hospital and wound up in a rehab here
Mental Health Outpatient Charges Covered
I had a recent case where a gentleman had $12,000 in mental health outpatient charges. The worst thing was he had no insurance. By us contacting the Department of Social
$23,000 Denied Medical Bill Overturned
I hope you’re having a great day. I recently overturned a case that was $23,000. This was an awful situation where the woman had been abused by her husband and
Incorrect Billing Resulted in $2,000 Overcharge
I recently handled a claim where they felt the billing was incorrect. The mother gave birth to this little baby boy. She received a bill from a private office, which
Broken Jaw Medical Bill Denied Because Not Medically Necessary?
I was recently able to help a family who had $35,000 worth of bills. They had a fall, broke their jaw, and believe it or not, this also involved multiple
Have a PPO Plan and Had a Baby?
I recently worked with a case where the person gave birth and since the provider was outta network, they were billing her only $15,000. I was able to prove by
15 Providers Out of Network Denying Your Medical Claims?
I recently worked with a client who had 15 different providers, and this case was like around 270 to 300 claims. They were denied as out-of-network. She also had limited
Who Covers When Multiple Insurance Policies?
I had a case recently involving three insurance companies. The insured was working as a New York City police, and his wife was covered under his plan it the beginning.
Wheelchair Medical Expense Not Covered?
I was referred a client who was unable to get a wheelchair through his health insurance plan. It was interesting that the reason for that is the insurance company thought
Hospital Bill Determined as Not Medically Necessary?
I hope you’re having a beautiful day today. I had a case recently where the gentleman was in the hospital due to severe leg pain. He spent two nights at
Overnight Medical Bill for $43,000 Fully Covered
Hi everyone. I gotta share this story with you. A gentleman was experiencing major pain, which involved kidney stones. He was kept in the hospital overnight and the pill was
What If You’re Unable to use Generic Medication?
I hate to say this, but too often you are unable to be on a generic drug for your condition. If this happens to you, please ask your doctor to
Saved $600 Per Month for Compound Pharmacy Medication
If you go to a compound pharmacy for medication and they do not submit the bill to your prescription plan, please do not ignore the possibility of receiving reimbursement for
Not Covered After Being Told That You’re Covered?
A recent client was informed by the surgeon’s office prior to the surgery that my client was covered for this upcoming surgery. Well, guess what? He was not covered, so
Covid Client Billed $54,000 With No Insurance Reduced to $0
I recently had a Covid client. They were being billed $54,000, but the sad thing was they had no insurance, and at that point, even the government stopped covering the
$500,000 Medical Bill Reduced, Even When Insurance Payout Was Insufficient
A recent client had an injury while sightseeing on a van. They had a fall and they sued the bus company and tour operator. My client received insufficient funds to
Couldn’t Pay Insurance Premiums After Brain Surgery
A recent client had brain surgery and they were so sick for a period of time, they couldn’t even read their mail and pay their health insurance, so now they’re
Case Overturned for Business Owner with No Workers Compensation
I recently overturned a case where my client was the owner of a company and he did not have workers compensation for himself. It’s not required by quite a few
Back Surgery Bill from $380,000 Down to $18,000
I recently worked with an attorney where I was able to reduce the back surgeon’s bill from $380,000 down to 18,000. Come to me, Adrian Medwise Insurance Advocacy. I will
Here’s How an Out of Network Surgeon is Covered Under Your Insurance
If you are interested in using a doctor who’s out of network, you need to be able to prove that nobody else is able to perform the surgery. Uh, and,
If You’re Considering Filing for Disability, You Need to Hear This
Have you or anyone you know filed for disability? If you’re thinking about filing for disability,the most important thing is you need to be sure that you will be eligible.I
Emergency Service for $186,000 Completely Covered with ERISA Plan
I had a case where this young boy had emergency brain surgery. The surgeon was billing my client $186,000. The doctor was out of network. So, the family, was having
$144,000 Medical Bill Reduced With No Health Insurance Plan
I’m working on a case that just came to me and the bill’s $144,000 and the client had no health insurance. He doesn’t have any health insurance at all. So
What if it Wasn’t Medical Necessary, But You’re Billed?
I have to tell you right now I am receiving quite a few clients whose insurance company is saying it wasn’t medically necessary for you to be in the hospital,
$25,000 Medical Fee Reduced to $1,700 Due to the No Surprise Act
I don’t know if anybody heard about this, but January 1st, 2022, a new bill was passed. It’s called the No Surprise Act. It is a national, um, uh, act.
Who’s Responsible for Preauthorization for Your Medical Procedure?
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
Outdated CPT Codes May Cost You Thousands
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