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.” But you know what? The strength is in the essentials. Our healthcare system is complicated, and you don’t want to be caught off guard or taken advantage of. Many people call me to help them evaluate […]
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 treatment they need because of automated claim decisions. If you’re having problems getting approval for care, or if your claims are being denied, please call MedWise. I’m here to help you navigate the process and advocate […]
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 future. Many patients are surprised to learn that one small coding detail can determine whether a claim is approved or rejected. The good news is that once you understand this process, you gain leverage and […]
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 policy and understand exactly what it covers and what it does not cover. You might be purchasing a plan that will not cover your specific condition, or your medical providers may not be in the […]
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 a claims supervisor within a short time. During my training, I learned very quickly how companies approach denying claims. It shouldn’t be driven by shareholder interests when people’s health and financial stability are at stake. Unfortunately, […]
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 are staggering. According to the Kaiser Family Foundation, we now have over $220 billion in medical debt, and about 25% of people who need treatment simply can’t afford it. Fortunately, some nonprofit hospitals offer financial assistance […]
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 medical debt. Many claims are denied not because the treatment wasn’t necessary, but because paperwork was incomplete or submitted incorrectly. The good news is that you can take control of this process. Denied claims often […]
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 path forward. Many people feel powerless once a bill reaches collections, but the truth is you still have rights and options. The sooner you take action, the stronger your position becomes. Medical debt can affect […]
The Challenge with Medicare Advantage Plans
I hope you’re having a fantastic day. I’ve always been shocked by what insurers get away with. When I went into the health insurance industry as a claims analyst, within two weeks the company taught me how to deny claims. This is why I’m here to help you. If your claim is denied, you’re overcharged out of […]
How to Check if Insurance Covers Something Before You Get a Denial
Knowing how to check if insurance covers something before a procedure or treatment can protect you from unexpected medical debt. Many people assume their plan will pay, only to receive a denial weeks later. The good news is that there are clear steps you can take to avoid this situation. Denied claims are stressful and […]