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 procedures on your submitted medical bill and they decide to deny it. MedWise is passionate about helping those facing wrongful denials and coverage issues. This is happening right now at a high percentage of submitted claims. I […]
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 insurance disputes, and complex billing situations. Across the United States, many people feel confused about what healthcare providers, insurance companies, and third parties are legally allowed to access or share. That confusion often becomes even […]
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, and insurance plans, and particularly for uninsured or self-paying individuals. MedWise will help you to dispute any of your medical bills. Please call me. I’m here to help you. https://vimeo.com/1188114630?share=copy&fl=sv&fe=ci
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 United States, patients are often shocked to discover that a health insurance company denied treatment, testing, or procedures recommended by their physician without ever speaking directly to the doctor first. That denial can delay care, […]
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 number and the NPI number, the National Provider Identification number, on the claim, the insurance company will not pay your claim. It makes me so angry when the claim is submitted incorrectly and now you, the […]
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 on behalf of your insurance carrier. Your insurance carrier did not code receipt of your monthly premium, and now your claims are being denied. Call MedWise and we will straighten out the error and make sure […]
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 getting approved by your health insurance company. Across the United States, many patients lose appeals not because the claim was impossible to win, but because the appeal letter lacked the right structure, evidence, or language. […]
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 are usually required to provide a clear process for this. If your claims are being denied, it’s always best to hire a professional to help you. I wrote a book, “Solve Curing Your Medical Insurance […]
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 best to look at the Medicare rates according to the procedure codes that is on your itemized bill. Very often, you’re able to get a discount if you can prove that the provider is billing […]
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 across the United States give up after the first denial because they assume the insurance company has the final word. That assumption can become expensive very quickly. A denied claim does not always mean the […]