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 […]
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 […]
$144,000 Medical Bill Reduced With No Health Insurance Plan
I’m working on a case that just came to me and the bill’s $144,000 and the client had no health insurance. He doesn’t have any health insurance at all. So very often when you approach the billing department for the medical provider, you will need to discuss the allowable amounts which are normally built because […]
What if it Wasn’t Medical Necessary, But You’re Billed?
I have to tell you right now I am receiving quite a few clients whose insurance company is saying it wasn’t medically necessary for you to be in the hospital, and you could have been there for two to seven evenings. You go to the emergency room, they admit you to the hospital, and they’re […]
$25,000 Medical Fee Reduced to $1,700 Due to the No Surprise Act
I don’t know if anybody heard about this, but January 1st, 2022, a new bill was passed. It’s called the No Surprise Act. It is a national, um, uh, act. Uh, and a doctor has no right to charge you for services if they didn’t tell you in advance that they were outta network and […]
Who’s Responsible for Preauthorization for Your Medical Procedure?
if a provider does not have pre-authorization for services rendered, which are usually the following procedures, surgery when they’re, uh, doing a procedure and they have to put dye in you, MRI, CAT scan, and, and also involving many other services, your claim is going to be denied if you didn’t have pre-authorization. I recently […]