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 Offered by Adria Gross:
- Helps individuals overturn denied insurance claims.
- Assists with negotiating medical bills, even for those without insurance.
- Provides guidance on obtaining pre-authorizations for medical procedures.
- Offers expertise in cases where patients were misinformed about in-network providers.
Educational Resources:
- Author of the book “Solved: Curing Your Medical Insurance Problems“, which provides steps and case studies to help individuals resolve insurance issues on their own.
- Encourages readers to reach out with questions after reading her book for additional guidance.
How Adria Helps:
- Analyzes insurance policies to determine coverage and potential for overturning denials.
- Advises on the necessary steps to appeal denied claims.
- Works to get doctors to provide supporting letters for appeals when necessary.
Target Clients:
- Individuals with denied insurance claims.
- Patients who unknowingly received services from out-of-network providers.
- People needing assistance with pre-authorizations.
- Uninsured individuals facing large medical bills.
Future Content:
- Plans to release additional videos covering topics like understanding medical bills and effective communication with healthcare providers and insurance companies.
Contact Information:
- Website: medicalinsuranceadvocacy.com
- Phone: (845) 978-9493
