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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
Can Itemized Bills Save You Thousands?
To help you save a tremendous amount of money, request itemized bills to understand what you have been charged for.
Types of Health Insurance Plans Explained
Types of health insurance plans (HMO, PPO, EPO) can determine whether your claim gets paid—or denied—and most people only learn
Unfair Medical Charges Eat Away Your Coverage
Unfair medical charges can arise from various issues, including billing errors, surprise bills from network providers, and inflated charges. To
The Best Chance You’ll Have at Overturning Your Case
You are now about to dispute a bill which you received from a collection agency. You need to request verification
Understanding CPT, ICD-10, and HCPCS Codes
Understanding CPT, ICD-10, and HCPCS codes can be the difference between a paid claim and a denied one—and most people
Infertility Bill Claims Unpaid?
If you come across an unfair medical bill, the first thing you need to do is examine your insurance coverage.
No Surprises Act Explained
The No Surprises Act became effective January 1st of 2022, and it protects consumers from surprise medical bills for emergency
How the U.S. Healthcare Payment System Works
How the U.S. healthcare payment system works isn’t just confusing—it’s the reason so many people end up stuck with overwhelming
Why Drug Prices Are Cheaper in Other Countries
One of the major issues causing high premiums on our pharmaceutical drugs is due to research and development. The question
Erisa Claim Denial?
Are you now appealing an ERISA claim denial? What was the reason for your denial? Very often, the State Department
Medical Billing Advocate vs Coder vs Biller Explained
The difference between Medical Billing advocate, coder, and biller can mean the difference between paying thousands—or paying nothing—when your claim
Why America’s Health Care System is Sick
I hope you’re having a fantastic day. I was reading an article recently that said, “The devil is in the details.”
Is AI Causing More Medical Claim Denials?
Artificial intelligence is changing many parts of the insurance industry, and unfortunately, some people feel they are not receiving the