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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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
What If Your Provider Does Not Send Out the Bill on Time to the Insurance Company?
Have you ever been in a situation where your provider did not send the bill out to the insurance company on time? Insurance company usually demand that they receive the
How to Avoid Paying the Same Medical Bill Twice
If it’s possible, I highly recommend that you keep track of claims that you have received and paid. It’s always best not to pay your medical provider until you receive
$25,000 Medical Claim Reduced to Zero With This
I recently had a case where the provider did not have medical records for which they were billing the patient for. It was very difficult for them to not be
Medicare Advantage Plan May be an Issue for Nursing Homes
I have to tell you, you know, this is crazy out there. People do not realize when they’re, when they turn 65 and they think, oh, this is gonna be
Billed for Services Never Rendered? We Can Help.
I recently had insured reach out to me since they were built for services, never rendered. It was difficult to prove, but luckily, by examining the medical records, we were
What to Do if Medical Claim Not Paid Due to Missed Insurance Payment
I recently overturned the case where the patient forgot to submit premium due to cancer treatment. You know what happens is when you’re going through the treatment, your brain really
Complications Due to Overseas Medical Bills?
I’ve had people call me up and request assistance since they had medical service rendered out of the country and when we return to the United States, they still needed
$17,000 Emergency Room Bill Reduced to CoPay
All too often you could be receiving a bill from the emergency room. Since the providers were out of network, you know, a lot of times the hospitals will cover
Bills Went to Collections, but Never Received from Hospital?
Have you ever been in a situation where you receive a bill from a collection agency and never from the medical provider? I have a case where my client is