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Out of Network Air Ambulance Services
The No Surprises Act prevents surprise bills for emergency services, even if received from an out-of-network provider or facility. It limits
A $54,000 Medical Bill Written Off After Denial
When a provider considers your procedure to be necessary and the insurance company says, “Hey, it wasn’t medically necessary,” you
Confused by Insurance Jargon
Denial letters are full of insurance jargon, but don’t let that intimidate you. Look for the reason for the denial. It’s usually
Getting Denied Is Not the End
Getting denied isn’t the end of the road. You have the right to appeal. That means asking the insurer to reconsider the
Why You Always Want a Pre Approval Letter
Many services require pre-authorization from your insurance company. That means your doctor has to get approval before doing a test or
College Students Must Prove What?
Students in college are normally able to purchase health insurance through their university. I’ve handled many cases involving college health insurance. I
Filing Complaints Against Providers/Insurers After Denied Claims
Filing complaints against providers/insurers can become an important step when denied medical claims, billing disputes, or unfair insurance practices leave
Having Medicare Advantage Plan Issues
Recently, several Medicare Advantage plans have exited the market, including Premera and the Blue Cross Blue Shield of Kansas City.
Why Patient Insurance Oversight is Necessary
Okay, you have received pre-authorization for appendicitis. You undergo the surgery, but now your insurance carrier, who approved the surgery,
Medical Debt Collection Laws and Your Patient Rights
Medical debt collection laws can affect everything from collection calls to credit reporting after denied medical claims and unpaid healthcare
Is Your Insurance Plan Fully Funded?
One of the misconceptions people experience is whether your health insurance plan is a fully funded plan or if it’s
Why a Letter of Medical Necessity May Save You Thousands
Medical claims that require pre-approvals or claims involving newly developed drugs or treatment, and many types of behavioral health treatment
State vs Federal Regulations for Health Insurance Claims
State vs federal regulations can dramatically affect how denied medical claims, insurance appeals, billing protections, and patient rights are handled
$26,500 Claim Paid for This Reason
A recent case that I worked on involved a medical bill denial for $26,500. Believe it or not, the insurance carrier
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,