When a provider considers your procedure to be necessary and the insurance company says, “Hey, it wasn’t medically necessary,” you have to fight to make sure that the insurer does not pass the cost to you. If you can prove that it was medically necessary, your denied claim should be paid. I recently had a case where […]
A $54,000 Medical Bill Written Off After Denial Read More »
Medical debt collection laws can affect everything from collection calls to credit reporting after denied medical claims and unpaid healthcare bills. Across the United States, many patients feel trapped between health insurance denials, rising balances, and aggressive collection notices without fully understanding the legal protections that may still exist. That pressure can escalate quickly. A
Medical Debt Collection Laws and Your Patient Rights Read More »
A recent case that I worked on involved a medical bill denial for $26,500. Believe it or not, the insurance carrier made an error thinking it was a totally different policy that doesn’t cover for pregnancy. I was so happy to realize their error and have their claim paid. If you need help, please call me. Thank you.
$26,500 Claim Paid for This Reason Read More »
Too often the medical claims are denied when your insurance carrier’s AI, artificial intelligence, looks at the diagnosis and medical procedures on your submitted medical bill and they decide to deny it. MedWise is passionate about helping those facing wrongful denials and coverage issues. This is happening right now at a high percentage of submitted claims. I
Is AI Automatically Denying Your Medical Claims Read More »
Writing a strong appeal letter can make the difference between a denied medical claim becoming your financial burden or finally getting approved by your health insurance company. Across the United States, many patients lose appeals not because the claim was impossible to win, but because the appeal letter lacked the right structure, evidence, or language.
Writing a Strong Appeal Letter for Denied Medical Claims Read More »
If you ever have any suspicion that you’re being overcharged, negotiate with the providers in the billing department. It’s always best to look at the Medicare rates according to the procedure codes that is on your itemized bill. Very often, you’re able to get a discount if you can prove that the provider is billing you a
Suspect Your Were Overcharged? Read More »
First-level vs second-level appeals can determine whether a denied medical claim gets paid or remains your financial responsibility. Many people across the United States give up after the first denial because they assume the insurance company has the final word. That assumption can become expensive very quickly. A denied claim does not always mean the
First-Level vs Second-Level Appeals for Denied Medical Claims Read More »
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 to, their first name and last name, their ID number, location, and keep notes of the entire conversation, including the date and time you spoke
Always Ask for the Response in Writing Read More »
The top reasons claims get denied often have little to do with the patient’s actual medical condition. Across the United States, thousands of people open medical bills expecting coverage, only to discover their health insurance company rejected the claim for technicalities, missing information, authorization issues, or coding errors. That denial can quickly spiral into collection
Top Reasons Claims Get Denied and How to Fight Back Read More »
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 problems getting approval for care, or if your claims are being denied, please call MedWise. I’m here to help you navigate the process and advocate
Is AI Causing More Medical Claim Denials? Read More »