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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How I Saved Her $16,000
An insurance carrier told my client that they can submit their claims online. Okay. My client submits the claims online, six months go by, and the insurance carrier is not
Always Ask for the Response in Writing
Good afternoon. Every time you call your insurance carrier, ask for their response in writing. If by any chance they will not provide you with that information, ask who you’re speaking
Always Ask for the SPD
Hello, my friends. Have you ever heard of an SPD? Summary Plan Description. Ask for this information from your health insurance carrier. This description will help you to understand what you
What is a Good Faith Estimate
Good faith estimate requires providers to provide uninsured or self-pay patients with a good faith estimate of the total cost of care before services are rendered. I recommend always asking in
College Insurance Pros and Cons
When a student has college insurance, that policy is a primary insurer. Sometimes the parents or guardian might still have them on their policy, which would be secondary to the
Can Itemized Bills Save You Thousands?
To help you save a tremendous amount of money, request itemized bills to understand what you have been charged for. All too often, you’re charged for services that were never rendered,
Unfair Medical Charges Eat Away Your Coverage
Unfair medical charges can arise from various issues, including billing errors, surprise bills from network providers, and inflated charges. To address these issues, you can start by examining your insurance coverage,
The Best Chance You’ll Have at Overturning Your Case
You are now about to dispute a bill which you received from a collection agency. You need to request verification from the agency, and I recommend you submit a complaint
Infertility Bill Claims Unpaid?
If you come across an unfair medical bill, the first thing you need to do is examine your insurance coverage. Review your plan, understand your deductibles, your co-pays, your co-insurance,
No Surprises Act Explained
The No Surprises Act became effective January 1st of 2022, and it protects consumers from surprise medical bills for emergency services and non-emergency services. It limits out-of-network cost-sharing and establishes a
Why Drug Prices Are Cheaper in Other Countries
One of the major issues causing high premiums on our pharmaceutical drugs is due to research and development. The question is: why are drug prices lower in other countries? Outside the US,
Erisa Claim Denial?
Are you now appealing an ERISA claim denial? What was the reason for your denial? Very often, the State Department of Insurance and the attorney general for your state will not assist
Why America’s Health Care System is Sick
I hope you’re having a fantastic day. I was reading an article recently that said, “The devil is in the details.” But you know what? The strength is in the essentials.
Is AI Causing More Medical Claim Denials?
Artificial intelligence is changing many parts of the insurance industry, and unfortunately, some people feel they are not receiving the treatment they need because of automated claim decisions. If you’re having
Do This Before You Purchase Any Medical Insurance Policy
When you go onto a website to purchase health insurance, please make sure you take a close look at the policy and understand exactly what it covers and what it
Medicare Advantage Plan Refuses Care
Congress is currently scrutinizing Medicare Advantage plans. I had a new case this week where a patient was being discharged from the hospital because of issues with her insurance coverage.
A $32,000 Medical Claim Overturned
I hope you’re having a fantastic day. When I started in the health insurance industry in the claims department, I became a claims supervisor within a short time. During my training,
How Non-Profit Hospitals Help With Health Care
I hope your day is going great. When it comes to medical bills being denied by your insurance company, the numbers are staggering. According to the Kaiser Family Foundation, we now
Did Your Dental Coverage Deny Your Cleaning Bill?
Good afternoon. I spoke with a client the other day who lives in Texas. He has a dental policy, and believe it or not, he was denied coverage for a routine
Is AI Automatically Denying Claims for Autistic Children?
You know, I’ve been absolutely shocked that some companies are limiting treatment for autistic children. There was a recent case where the New York State Attorney General forced an insurance
Medical Claim Was Denied for This Reason
I hope you’re having a fabulous day. You know, 99% of all enrollees who have a Medicare Advantage plan need to obtain prior authorization for many services. This most commonly applies
The Challenge with Medicare Advantage Plans
I hope you’re having a fantastic day. I’ve always been shocked by what insurers get away with. When I went into the health insurance industry as a claims analyst, within two
Denied Medical Coverage for Recommended Care?
Hello, my friends. Coverage denials can lead to significant delays in getting care while patients and their doctors go through the appeal process. Almost three out of five people who reported
Frustrated By Medical Insurance Denials?
Hello, my friends. You know, many people have been mistreated by insurers, or their loved ones have. When you’re frustrated by denials and get no assistance from the insurance company, it’s time
Your Insurance Company Needs Arm Twisting?
Hello, my friends. Have you or a family member been denied essential care to the point of permanent disability or even death? I used to work for two insurance companies, and within
Financial Ruins from Denied Medical Claims
Good afternoon. I hope you’re having a great day. Are you now in financial ruin because your medical claim was denied by your health insurance carrier? Many times, insurance companies deny claims even
Your Insurance Company Broke Their Promise to Cover You?
Hello, everybody. You know, I’ve got to tell you, it is absolutely terrible that we’re in a position where our claims are denied and we become frustrated to the point of
Higher Medical Insurance Premiums?
Hello my friends. I can remember the day when someone didn’t want to report an accident or injury because their insurance premiums might go up. Now, even if you make no claims,
How to Appeal Your Denied Medical Claims
You know, if your medical bill is denied, please challenge the health insurance carrier. Many people do not understand that they have the right to overturn the case despite the ACA’s
The Hospital Price Transparency Law
Starting January 1st, 2021, each hospital operating in the United States was required to provide clear, accessible pricing information online about the items and services they provide. However, as of