Have a PPO Plan and Had a Baby?
I recently worked with a case where the person gave birth and since the provider was outta network, they were billing her only $15,000. I was able to prove by sufficient medical records and a review of the health insurance policy that she should have been covered for this provider, even though they were out […]
15 Providers Out of Network Denying Your Medical Claims?
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 […]
Who Covers When Multiple Insurance Policies?
I had a case recently involving three insurance companies. The insured was working as a New York City police, and his wife was covered under his plan it the beginning. The insurance companies would not speak with the other, the other ones, but when we had to go to a higher level, which we did […]
Wheelchair Medical Expense Not Covered?
I was referred a client who was unable to get a wheelchair through his health insurance plan. It was interesting that the reason for that is the insurance company thought he had another insurance carrier when we were able to prove that he only had one health insurance policy. He was finally able to be […]
How Does Your Health Insurance Plan Handle Pre-existing Conditions?
Understanding how your health insurance plan handles pre-existing conditions is crucial, especially if you or a family member have a chronic illness or a medical history that needs ongoing care. This blog post aims to guide you through the complexities of insurance coverage for pre-existing conditions, offering advice on what to look for and the […]
Filing a Medical Insurance Claim
Dealing with medical issues can be stressful enough without adding the complexities of insurance paperwork. However, understanding the process of filing a medical insurance claim is essential for ensuring you receive the benefits you’re entitled to. In this comprehensive blog post, we’ll walk you through the steps of filing a medical insurance claim so that […]
Documentation Needed for Filing a Medical Insurance Claim
Filing a medical insurance claim can be a daunting process, especially when you’re not sure what paperwork you need. To help streamline this essential task, this blog post offers a comprehensive guide on the types of documentation you’ll need to gather when filing a claim. Why Proper Documentation Matters Incorrect or incomplete documentation can result […]