I recently worked with a client who had 15 different providers, and this case was like around 270 to 300 claims. They were denied as out-of-network. She also had limited visits on her physical therapy. It took a tremendous amount of work, but I was able to prove that it was her, that she was improving as she was in this physical therapy, and it was medically necessary for her to have these procedures and continue them even though they were out of network. She had APPO plan, which usually covers for all the procedures, even if they’re out of network, and I was so happy I was able to have over $220,000 worth of claims paid out. If you ever need help, please call me Adria at Medwise Insurance Advocacy.
