Have you recently received a bill from an emergency room group of providers because they were out of network a week ago? I received a claim for over $26,000 because the providers in the emergency room were out of network. If this happens to you, please reach out to me.I reduce that bill from $26,000 […]
What if the Emergency Room Provider Is Out of Network? Read More »
You can negotiate before receiving care, immediately after the bill arrives, or after insurance pays their portion. Q: Can you negotiate a hospital bill even if you have insurance? A: Yes. Especially if your deductible is high or a portion was denied. You can dispute non-covered charges or request a self-pay discount on the remaining
Can You Negotiate Health Care Bills? 7 Tricks That Work Read More »
Very often people do not realize what the benefits are on their policies. The policy might cover you for other services besides just the bill for a specific procedure code. Please reach out to Med Midwife, so look at your entire policy and explanation of benefits. Many cases where the claims are partially paid and
Do You Know Your Medical Policy’s Benefits? Read More »
If you’ve ever looked closely at a medical bill or an Explanation of Benefits (EOB), you’ve likely seen lines filled with five-digit numbers. These aren’t random sequences; they are crucial codes that dictate how, and if, healthcare services get paid. Specifically, many of these are CPT codes, and errors involving them are a significant, yet
How CPT Code Errors Can Lead to Medical Claim Denials Read More »
Years ago I had a baker cyst on my right knee. I went to an orthopedic doctor who drained my knee three times. The fluid kept on coming back. He recommended that I see an orthopedic surgeon. They were about to do surgery and I met up with a doctor friend of mine who is
Need a Second Opinion for Orthopedic Surgeon? Read More »
I have to tell you many times I have people come to me where they know that their medical bill should be covered. According to the health insurance policy, very often the policy indicates that you should be covered for a certain procedure, but the insurance companies deliberately deny your claim. I was educated on
$52,000 Overturned After 3 Times Denied Medical Claim Read More »
One of the chapters in my book, Apparently Different, involves a doctor who, after years of twisting his neck while performing colonoscopies—looking at the patient, then the machine—wound up with a severe condition called Barrett’s esophagus. It took quite a long time to determine his condition. This condition is considered a “zebra,” a medical term
Whats a Zebra in Medical Terms? Read More »
I don’t know if this has ever happened to you, but have you ever received a bill from an emergency room for over $10,000, and all they did in that emergency room was give you medication? I’ve had many cases like this, and in this particular case, I was able to get a major reduction
$10,000 Emergency Room Just for Medicine Read More »
You know, it took quite a bit of time, but my client who had a twisted intestine with a medical debt of over $150,000—I was finally able to prove that there was no way my client could afford to pay that amount. Thank goodness, I brought her bill down to $10,000. She took a loan
Twisted Intestine $150,000 Bill Reduced to $10,000 Read More »
As the CEO and founder of MedWise Insurance Advocacy, I have dedicated my career to assisting individuals in overcoming these challenges. Drawing from over 25 years of experience in the insurance industry, I understand the intricacies of medical billing and the frustration that comes with claim denials. Understanding Insurance Denials Insurance claim denials occur for
Understanding Insurance Denials Read More »