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Is AI Automatically Denying Your Medical Claims
Too often the medical claims are denied when your insurance carrier’s AI, artificial intelligence, looks at the diagnosis and medical
HIPAA Privacy Rules Explained for Insurance Claims and Appeals
HIPAA privacy rules explained in simple terms can help patients protect their medical information while navigating denied medical claims, health
Reduced Bill from $8,500 to a $250 Deductible
Hello, my friends. Was your claim inaccurately processed by your health insurance carrier? Call MedWise to help overturn your case. This past
Dispute Resolution for Self Paying Individuals
Hello, everybody. I hope you’re having a fabulous day. Dispute resolution establishes a process for solving billing disputes between patients, providers,
Peer-to-Peer Review Process for Denied Medical Claims
The peer-to-peer review process can become one of the most important turning points in a denied medical claim. Across the
Has Your Claim Been Incorrectly Denied
Has your claim been incorrectly denied? Believe it or not, if your claim does not have the Federal Tax ID
Has Your Health Insurance Been Incorrectly Terminated?
Has your health insurance been incorrectly terminated? Too many times you are paying your health insurance premium and there’s an error
Writing a Strong Appeal Letter for Denied Medical Claims
Writing a strong appeal letter can make the difference between a denied medical claim becoming your financial burden or finally
What To Do if Your Claim is Denied
Consumers should be encouraged to file formal appeals when they believe their claims are wrongfully rejected or processed. Insurance companies
Suspect Your Were Overcharged?
If you ever have any suspicion that you’re being overcharged, negotiate with the providers in the billing department. It’s always
First-Level vs Second-Level Appeals for Denied Medical Claims
First-level vs second-level appeals can determine whether a denied medical claim gets paid or remains your financial responsibility. Many people
How I Saved Her $16,000
An insurance carrier told my client that they can submit their claims online. Okay. My client submits the claims online,
Always Ask for the Response in Writing
Good afternoon. Every time you call your insurance carrier, ask for their response in writing. If by any chance they will
Top Reasons Claims Get Denied and How to Fight Back
The top reasons claims get denied often have little to do with the patient’s actual medical condition. Across the United
Always Ask for the SPD
Hello, my friends. Have you ever heard of an SPD? Summary Plan Description. Ask for this information from your health insurance
What is a Good Faith Estimate?
Good faith estimate requires providers to provide uninsured or self-pay patients with a good faith estimate of the total cost
Premiums, Deductibles, and Copays Explained
Understanding premiums, deductibles, and copays is the key to knowing why your insurance didn’t pay—and why your healthcare bills may
College Insurance Pros and Cons
When a student has college insurance, that policy is a primary insurer. Sometimes the parents or guardian might still have