How Your Insurance Works with the No Surprise Act
Your insurer may have decided not to pay part or all of your claim. If you think this decision violates the No Surprises Act, appeal your bill. Follow the process described in your health insurance plan’s documents and the denial notices. Learn more about your rights under the No Surprises Act. If you receive a bill and have […]
Why Ask for an Itemized Bill When Denied Medical Claim
If you receive a balance bill or believe you are overcharged, request an itemized bill and dispute the charges. Ask the provider or hospital for an itemized bill with all billing codes listed. Your billing codes should be five-digit procedure codes. Make sure you’re not relying on a hospital bill that only shows three to five numbers or […]
Out of Network Air Ambulance Services
The No Surprises Act prevents surprise bills for emergency services, even if received from an out-of-network provider or facility. It limits out-of-network cost-sharing for non-emergency services received at an in-network facility, such as hospitals or ambulatory surgical centers. It also prohibits balance billing for air ambulance services, even if they are out-of-network. Please call me. I’m here […]
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 […]
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 […]
How I Saved Her $16,000
An insurance carrier told my client that they can submit their claims online. Okay. My client submits the claims online, six months go by, and the insurance carrier is not paying the claim reimbursement. My client finally realizes this, and when I spoke with the insurance carrier, they stated the paperwork was never submitted on […]
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 […]
Out of Network Medical Bill Reduced from $6,000 to $240
We are literally the only developed country in the world with an entire multi-billion dollar for-profit health insurance industry. Some hospitals are not for-profit, and I wish it was the same for the health insurance companies. The for-profit health insurance industry has attached itself to us like a giant bloodsucking tick. I recently worked with […]
Got a Bill from a Doctor You’ve Never Seen
Have you ever been hospitalized and received a bill for a doctor you never saw? I recently overturned a case where the doctor was charging over $5,000, but that doctor never saw the patient. When looking at the medical records, we were able to prove that the doctor never performed any services, and they finally […]
How to Challenge a Billing Error
One of my clients reported a billing error to me and we challenged the insurance carrier and the medical provider. You need to be aware of your right to challenge a bill. We recently decreased a bill from $4,500 down to $100. Please call me. Remember, I’m here to help you. Thank you. https://vimeo.com/1117099614?share=copy