What to Do When Your Insurance Denies a Claim
Receiving a claim denial from your health insurance company can be frustrating and confusing. It can feel like a roadblock in accessing necessary medical care. At Medwise Insurance Advocacy, we understand the stress and uncertainty that come with claim denials. This blog post will provide a step-by-step guide on what to do when your insurance […]
$10,000 Emergency Room Just for Medicine
I don’t know if this has ever happened to you, but have you ever received a bill from an emergency room for over $10,000, and all they did in that emergency room was give you medication? I’ve had many cases like this, and in this particular case, I was able to get a major reduction […]
Emergency Room 3 Day Visit Denies $27,000 Bill
It was the middle of the night, and a patient goes to an emergency room in excruciating pain. The ER could not diagnose the condition. My client was kept in the hospital for three days, and the insurance company said there was no need for her to be at the hospital. Even though she went […]
Understanding Deductibles, Co-pays, and Coinsurance
Navigating the world of health insurance can feel like deciphering a foreign language. Terms like “deductible,” “co-pay,” and “coinsurance” are frequently used, but their meanings are often misunderstood. At Medwise Insurance Advocacy, we believe that understanding these key concepts is crucial for managing your healthcare expenses effectively. This blog post will break down these terms […]
Explanation of Benefits Letter Denies Your Claim
You are treated and preauthorized for a medical procedure. You go to the hospital where the procedure will take place. They perform the procedure, but then you receive an explanation of benefits from the insurance company stating that the procedure was not medically necessary. I recently overturned a case where the bill was $28,000, and the […]
Denied Medical Claim Because of Non-Preauthorization
Have you ever been in a situation where you were never informed that a pre-authorization was required? Well, this claim was denied because my client did not have pre-authorization. If this happens to you, please reach out to Medwise. I recently overturned a case that was over $60,000. Please call me, Adria at Medwise Insurance […]
Common Medical Billing Errors to Watch Out For
Medical billing can be a minefield of codes, jargon, and potential errors. At Medwise Insurance Advocacy, we understand how frustrating and overwhelming it can be to decipher medical bills and ensure their accuracy. This blog post will highlight some of the most common medical billing errors to watch out for, empowering you to take control […]
Twisted Intestine $150,000 Bill Reduced to $10,000
You know, it took quite a bit of time, but my client who had a twisted intestine with a medical debt of over $150,000—I was finally able to prove that there was no way my client could afford to pay that amount. Thank goodness, I brought her bill down to $10,000. She took a loan […]
Emergency Room for $8,000 Turns to Zero
My client in California went to the emergency room and received a bill for over $5,000. But believe it or not, every month she received a bill that added additional charges of over a thousand dollars a month. Her policy was Medicaid, and when I was able to prove that she could not afford the […]
Navigating In-Network vs. Out-of-Network Costs
Healthcare costs can be confusing, especially when it comes to understanding the difference between in-network and out-of-network providers. At Medwise Insurance Advocacy, we’re dedicated to helping you navigate these complexities and make informed decisions about your healthcare. This blog post will explain the distinctions between in-network and out-of-network costs, empowering you to minimize your out-of-pocket […]