Didn’t Schedule the Medical Procedure Within the Pre Authorization Period?
I hope you’re having a fabulous day today. A coverage denial may say the needed care was not provided as a result of not scheduling the services needed within the time period you were originally preauthorized by your insurance carrier. What they do is they send in that you might need pre-authorization, and they give […]
How the ACA Works for Claim Denials
The Affordable Care Act (ACA) granted people the right to appeal decisions made by their health insurers regardless of their insurance type or state of residence. The law also established rules for how insurance companies should handle initial appeals and allows insurers to request a reconsideration of decisions to deny payment. If an insurer upholds […]
What Service Do Private Insurance Companies Provide
Hello my friends. What service do private insurers provide in return for the fees they collect? Again, what service do private insurers provide in return for the fees that they collect? You may not realize the extent to which the insurance companies are exposing themselves to the delay and deny strategies. Private insurance is often […]
What Increases Medical Care Costs
The lack of health coverage produces negative consequences. For instance, an individual avoiding upfront medical costs might end up in the emergency room where treatment is much more expensive. This not only increases healthcare costs for everyone but also places a heavier load on public resources and spreads illness. Make sure you have a good […]
Bee Sting Leads to Emergency Room Bill Not Covered by Insurance
I hope you’re having a great day today. Well, let me tell you this one. Wow. You get stung by a bee and you have difficulty breathing. You got swelling of your throat or tongue, you got a rapid pulse, you are dizzy or fainting. Please go directly to the emergency room. I had a […]
How to Dispute Medical Bill Collections Like a Pro
Most patients assume that if they paid their copay and their insurance handled the rest, the issue is resolved. Unfortunately, billing systems don’t always work that cleanly. Common Triggers That Lead to Medical Collections: Insurer Delays or Denials: A claim that takes too long—or is denied—can lead to the provider forwarding your bill to collections. […]
Can You Sue a Medical Billing Company for Overcharges?
Yes, but the complexity of these cases often requires legal expertise—especially if you’re seeking more than just a correction or refund. When Legal Counsel Is Advisable The billing error has caused serious financial damage You’ve suffered credit score damage due to reporting You’ve been harassed or misled by debt collectors Your dispute has been ignored […]
Insurance Claim Denied? Don’t Give Up! Steps to Get Denied Medical Claims Paid
For years, I’ve helped clients navigate the complex world of health insurance. One of the most disheartening moments for any patient is receiving that notice: “Your claim has been denied.” It can feel like a final judgment, leaving you facing unexpected and often significant medical bills. But here’s something I emphasize constantly, based on years […]
Struggling with Medical Bills? You Have Options
As the founder of Medwise Insurance Advocacy, I’ve spent years helping countless individuals navigate the often-turbulent waters of healthcare costs. One of the most common and stressful situations people face is figuring out how to pay medical bills, especially unexpected or large ones. The sticker shock from a hospital stay or complex procedure can be […]
Negotiating Medical Bills: Tips and Tricks for Lowering Your Healthcare Costs
Medical bills can be a significant source of stress, especially when they seem unexpectedly high or contain errors. At Medwise Insurance Advocacy, we empower you to take control of your healthcare finances. Negotiating medical bills is often possible, and this blog post will provide valuable tips and tricks to help you lower your out-of-pocket expenses. […]