I hope you’re having a great day. Uh, you know, one of my recent clients had hip replacement and there was pre-authorization for the hip replacement and it was supposed to be covered, but due to incorrect procedure codes, the bill for $85,000 was denied. The bills were being submitted by an outside billing company […]
Hip Replacement With Authorization Was Denied Read More »
I recently had a client who wound up in emergency room in a hospital, which was out of network since the ambulance took them right to the out-of-Network Emergency Room. I must say it took quite a period of time for me to overturn the case, but I was finally able to have the insurance
Out of Network Emergency Room Covered? Read More »
I hope you’re having a great day. I recently overturned a case that was $23,000. This was an awful situation where the woman had been abused by her husband and since they had health insurance under her husband’s policy. For some odd reason the insurance company was not paying it. This case was sent to
$23,000 Denied Medical Bill Overturned Read More »
I recently handled a claim where they felt the billing was incorrect. The mother gave birth to this little baby boy. She received a bill from a private office, which she never saw this provider while she was in the hospital, the bill was $2,000 and when we were able to prove that the services
Incorrect Billing Resulted in $2,000 Overcharge Read More »
I recently worked with a case where the person gave birth and since the provider was outta network, they were billing her only $15,000. I was able to prove by sufficient medical records and a review of the health insurance policy that she should have been covered for this provider, even though they were out
Have a PPO Plan and Had a Baby? Read More »
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 he had another insurance carrier when we were able to prove that he only had one health insurance policy. He was finally able to be
Wheelchair Medical Expense Not Covered? Read More »
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 now they’re billing my client for only $80,000. When I discussed the situation with the medical Provider’s billing office, it took months, but we were
Not Covered After Being Told That You’re Covered? Read More »
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 covid uh, patients. They, they stopped covering, I believe it was around February of 2022. But thank you, I was able to reduce the bill
Covid Client Billed $54,000 With No Insurance Reduced to $0 Read More »
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 pay all the medical bills, so thank you. I was able to reduce his bill from $500,000 down to a hundred thousand dollars. Now it
$500,000 Medical Bill Reduced, Even When Insurance Payout Was Insufficient Read More »
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 at a point that they can back pay, and they reached out to me and when I was able to prove that my client was
Couldn’t Pay Insurance Premiums After Brain Surgery Read More »