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 […]
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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.
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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
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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
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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
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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
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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
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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 teeth cleaning. Can you imagine being told it’s not medically necessary to clean your teeth? If you need assistance with any of your claim denials, please
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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 to call me. I have overturned 95% of the cases that come my way. I’m the owner of MedWise Insurance Advocacy. Please call me. Thank you. https://vimeo.com/1149514651?share=copy&fl=sv&fe=ci
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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 rules. For insurance companies to handle appeals and standardized appeal processes, 40% of those who did not challenge their denial reported that they did not
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