Too many times I have received unpaid claims for Panda. People come to me when it’s not being paid. Panda stands for Pediatric Autoimmune Neuropsych Psychiatric Disorders, and it’s associated with strep infections. Too often insurance companies do not wanna pay claims for that condition. If that happens to you or even other conditions, please […]
Unpaid Claims for PANDA Read More »
https://vimeo.com/1014535586?share=copy Interview Participants: Edison Guzman (interviewer) and Adria Gross from Medical Insurance Advocacy (interviewee). Adria’s Background: Worked for two insurance companies where she was trained to deny claims. Gained extensive knowledge about insurance policies, including coverage details, premiums, deductibles, and copays. Transitioned from working within insurance companies to advocating for individuals with denied claims. Services
From Denying Claims to Patient Advocate, Adria Gross on Navigating Medical Insurance Read More »
You know, 50% of the doctors and hospitals no longer accept the Medicare Advantage plans. You have only one Medicare card if you have the Medicare Advantage plans. But the issue is if you wind up in a rehab and if they’re using AI at the insurance company, artificial intelligence, within three days after you
Medicare Advantage Plans Are not Accepted by 75% of Doctors Read More »
Navigating the intricacies of health insurance can be a daunting task, especially when you’re trying to figure out if a particular medical procedure or medication is covered under your plan. Knowing what is and isn’t covered can save you from unexpected medical bills and ensure that you’re getting the most out of your insurance. This
How to Determine if a Medical Procedure or Medication is Covered Read More »
Hello, everybody in my book apparently Different. There’s a chapter about Allison Murphy. The title of the chapter is Allie. A Little Love Inspires everyone. I’ve known Allie since she was an infant. She and my son were both in early intervention. Allie was born with cerebral palsy. She has been in a wheelchair her
A Little Love Inspires Everyone Read More »
You are a senior, but make sure that when you wind up in a hospital, you are an inpatient for at least two midnights or more. Otherwise, you’ll be considered an outpatient under observation and will not be covered for your hospitalization. Please call me if you know anybody who this happens to. I’m here
What is Outpatient Under Observation Read More »
I hope everybody’s having a great day out there. I have to say bipolar depression occurs much too often. I have helped many people who have that disorder. If your claims are being denied on mental health issues, please call me Adria, Medwise Insurance Advocacy. I’m here to help you. Thank you. https://vimeo.com/996386814
Bipolar Depression Claims Read More »
Navigating the healthcare landscape can be complicated, especially when you need specialized care. One common question many people have is whether they need a referral from a primary care physician (PCP) to consult a specialist. The answer varies depending on your insurance plan and healthcare needs. This blog post delves into the factors that determine
Do I Need a Referral to See a Specialist? Read More »
I worked with a gentleman who was considered the Jeopardy king, and he’s in my book that recently came out. Apparently different. He was Jeopardy’s King on the Jeopardy Tournament of Champions, but I’m sorry to say this. He wound up having neurological Lyme disease. He was on so many different medications and went to
Neurological Lime Disease Insurance Claims Read More »
Health insurance can be a lifesaver in a medical emergency, but understanding the terms and conditions of your policy can feel like navigating a maze. Terms like “deductible,” “co-pay,” and “co-insurance” often pop up, creating confusion for many policyholders. In this blog post, we’ll demystify these common insurance terms so you can make informed decisions
Understanding “Deductible,” “Co-Pay,” and “Co-Insurance” Read More »
MedWise Insurance Advocacy
Tel: 845.238.2532
Cell: 845.978.9493
adria@medicalinsuranceadvocacy.com
Monroe, NY 10950
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