At A Nursing Care Facility with Medicare Advantage Plan?
Hello everyone. Recently I received many phone calls for people who purchase a Medicare Advantage plan. Rather than having a Medicare coverage with a supplement and a prescription plan, I always tell people, you have one card or three cards. When people go into a rehab center and they have a Medicare Advantage plan, they’re […]
Have You Received a Medical Bill One to Five Years After Procedure?
I hope you’re having a terrific day. Uh, I just wanna tell you people reach out to me when they first receive a bill going back a year to five years after the procedure was provided. You might not be responsible for that bill. Last week I saved my client $25,000. So if you are in this […]
Out of Network Provider Not Submitted Your Medical Bills on Time?
I hope you’re having a fabulous day. Have you been seen by an out of network provider who has not submitted your medical bills on time? If, you have not paid the provider yet and they have not submitted the bills, you might want to not even be responsible to pay the provider. I recently […]
Hip Replacement With Authorization Was Denied
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 […]
Denied Medical Bills Over $90,000 Overturned
Hello everyone. I had a recent case where this person kept on receiving denied medical bills and they had excessive billing from the providers. To make things even worse, his insurance company changed over the time period when he was having these multiple procedures involving surgery. A couple of the providers were out of network […]
Rehab and $52,000 Hospital Bill Covered
I hope you’re having enjoying yourselves and all is going well. Well, one of my clients was in an out of network hospital and wound up in a rehab here I was fighting for my client involving the hospital bill, and finally was able to have his insurer cover the entire hospital bill of $52,000. […]
Mental Health Outpatient Charges Covered
I had a recent case where a gentleman had $12,000 in mental health outpatient charges. The worst thing was he had no insurance. By us contacting the Department of Social Services, we were able to get Medicaid to pay off all his claims. If you ever need help, please call me Adria, Medwise Insurance Advocacy. […]
$23,000 Denied Medical Bill Overturned
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 […]
Incorrect Billing Resulted in $2,000 Overcharge
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 […]
Broken Jaw Medical Bill Denied Because Not Medically Necessary?
I was recently able to help a family who had $35,000 worth of bills. They had a fall, broke their jaw, and believe it or not, this also involved multiple insurers. The insurers kept on denying the claims stating, even though she broke her jaw, it wasn’t necessary for her to have covered charges. Crazy. […]