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What is an Insurance Claim Denial?
Have you ever gone to the doctor, submitted your claim, and got a letter saying your insurance won’t pay? That is
Hospital Financial Assistance Programs
Hospital financial assistance programs may reduce or eliminate a medical bill, even when you have insurance and your claim has
The Most Common Reasons for Denied Medical Bill Claims
Why do claims get denied? The most common reasons include missing information, incorrect billing codes, lack of pre-authorization, or service
Out of Network Air Ambulance Services
The No Surprises Act prevents surprise bills for emergency services, even if received from an out-of-network provider or facility. It limits
Setting Up Payment Plans for Denied Medical Bills
Setting up payment plans may protect your monthly budget, but agreeing too quickly can leave you paying a medical bill
A $54,000 Medical Bill Written Off After Denial
When a provider considers your procedure to be necessary and the insurance company says, “Hey, it wasn’t medically necessary,” you
Confused by Insurance Jargon
Denial letters are full of insurance jargon, but don’t let that intimidate you. Look for the reason for the denial. It’s usually
Cash Pay vs Insurance Pricing After a Claim Denial
Cash pay vs insurance pricing can create a startling result: the price for using health insurance may be higher than
Getting Denied Is Not the End
Getting denied isn’t the end of the road. You have the right to appeal. That means asking the insurer to reconsider the
Why You Always Want a Pre Approval Letter
Many services require pre-authorization from your insurance company. That means your doctor has to get approval before doing a test or
Negotiating Medical Bills Effectively After a Denied Claim
Negotiating medical bills effectively can mean the difference between paying an inflated balance and resolving a denied claim for a
College Students Must Prove What?
Students in college are normally able to purchase health insurance through their university. I’ve handled many cases involving college health insurance. I
Filing Complaints Against Providers/Insurers After Denied Claims
Filing complaints against providers/insurers can become an important step when denied medical claims, billing disputes, or unfair insurance practices leave
Having Medicare Advantage Plan Issues
Recently, several Medicare Advantage plans have exited the market, including Premera and the Blue Cross Blue Shield of Kansas City.
Why Patient Insurance Oversight is Necessary
Okay, you have received pre-authorization for appendicitis. You undergo the surgery, but now your insurance carrier, who approved the surgery,
Medical Debt Collection Laws and Your Patient Rights
Medical debt collection laws can affect everything from collection calls to credit reporting after denied medical claims and unpaid healthcare
Is Your Insurance Plan Fully Funded?
One of the misconceptions people experience is whether your health insurance plan is a fully funded plan or if it’s
Why a Letter of Medical Necessity May Save You Thousands
Medical claims that require pre-approvals or claims involving newly developed drugs or treatment, and many types of behavioral health treatment