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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
Why Coding Errors Cause Medical Claim Rejections and How to Fix Them
Understanding how do insurance companies use diagnosis codes can help you prevent denials, reduce medical debt, and protect your financial
Do This Before You Purchase Any Medical Insurance Policy
When you go onto a website to purchase health insurance, please make sure you take a close look at the
Medicare Advantage Plan Refuses Care
Congress is currently scrutinizing Medicare Advantage plans. I had a new case this week where a patient was being discharged
Hospital Debt in Collections? Step-by-Step Dispute Guide
Understanding how to dispute hospital collections can help you stop the pressure, protect your credit, and reduce the amount you
A $32,000 Medical Claim Overturned
I hope you’re having a fantastic day. When I started in the health insurance industry in the claims department, I became
How Non-Profit Hospitals Help With Health Care
I hope your day is going great. When it comes to medical bills being denied by your insurance company, the numbers
Insurance Claim Documentation Checklist to Prevent Denials
Knowing the right documents for insurance claim approval can mean the difference between getting paid and facing thousands in unexpected
Did Your Dental Coverage Deny Your Cleaning Bill?
Good afternoon. I spoke with a client the other day who lives in Texas. He has a dental policy, and believe
Is AI Automatically Denying Claims for Autistic Children?
You know, I’ve been absolutely shocked that some companies are limiting treatment for autistic children. There was a recent case
How to Dispute a Medical Bill in Collections and Protect Your Credit
Learning how to dispute a medical bill in collections can stop the damage, reduce stress, and give you a real
Medical Claim Was Denied for This Reason
I hope you’re having a fabulous day. You know, 99% of all enrollees who have a Medicare Advantage plan need to