Discount Strategies for Uninsured Patients With Medical Bills
Discount strategies for uninsured patients can reduce a medical bill substantially, but the best time to ask is before paying, financing, or accepting the provider’s full charge. Being uninsured can make every medical statement feel final. The bill may arrive without the negotiated discounts insurers receive, leaving you uncertain whether the price is fair or […]
What is an Insurance Claim Denial?
Have you ever gone to the doctor, submitted your claim, and got a letter saying your insurance won’t pay? That is a denial. It means your insurer has rejected the claim, either for a service they say isn’t covered or for some other reason. It doesn’t always mean you’re stuck with the bill, but it does mean […]
Hospital Financial Assistance Programs
Hospital financial assistance programs may reduce or eliminate a medical bill, even when you have insurance and your claim has been denied. A denial can leave you staring at a balance you never expected to pay. The hospital may suggest monthly payments or a medical credit card, but accepting either option too quickly could make […]
Confused by Insurance Jargon
Denial letters are full of insurance jargon, but don’t let that intimidate you. Look for the reason for the denial. It’s usually listed by a code. And check your explanation of benefits, your EOB, it’s called. You have to understand the exact reason, which will help you determine your next steps, whether it’s correcting an error, appealing a […]
Cash Pay vs Insurance Pricing After a Claim Denial
Cash pay vs insurance pricing can create a startling result: the price for using health insurance may be higher than the amount offered to someone paying without insurance. That difference becomes especially painful when your claim is denied and the provider suddenly expects you to pay the full balance. Before paying, switching to cash pricing, […]
Filing Complaints Against Providers/Insurers After Denied Claims
Filing complaints against providers/insurers can become an important step when denied medical claims, billing disputes, or unfair insurance practices leave patients overwhelmed and financially vulnerable. Across the United States, many people feel powerless after repeated denials, unanswered calls, or confusing medical bills that never seem to get resolved. That frustration can quickly turn into fear. […]
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 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 […]
The Hospital Price Transparency Law
Starting January 1st, 2021, each hospital operating in the United States was required to provide clear, accessible pricing information online about the items and services they provide. However, as of July 9th, 2024, only 16.7% of hospitals nationwide comply with the hospital price transparency rule. You should know in advance what the fees are, and […]
How to Find Patient Advocate Agencies Accepting New Clients
Searching for patient advocate agencies accepting new clients can feel like a desperate hunt for a lifeline in a storm. You know you need an expert navigator, but every call hits a full voicemail, and every email inquiry is met with an automated reply about a six-month waitlist. All the while, the clock is ticking […]