Navigating Insurance Claims with Confidence
If you’ve ever faced a challenging insurance claim, you know how complex and overwhelming the process can be. From confusing jargon to lengthy paperwork and frustrating denials, dealing with insurance claims can quickly become a full-time job. That’s where an insurance claim advocate comes in—a trained professional with expertise in navigating the claims process, ensuring […]
Over $200000 in Fraudulent Medical Bills Waived
Hi, my friends. You know, I couldn’t believe this case. My client owed over $200,000 when I was able to prove all of this fraud billing from the hospital. I discussed it with the hospital, and they finally backed off and gave my client a zero balance. Please, if you have any problems with your bills, call me. I’m […]
Colonoscopy Charged $7,000 and Reduced to $0
You’re going to a colonoscopy at the office of your doctor and the office says to you, it’s covered on your plan and you do not need to pay any money at all. I just overturn a case where they were informed there would be no fee but was charged over $7,000. Please get that […]
Having Problems Getting the Generic Drug
I hope you’re having a wonderful day today. All too often you may need a medication and they only want to provide you with the generic drug. If you’re having problems where you are unable to take that generic drug, please reach out to me. I will help you. I have great relationships with the […]
Medicare Advantage Double Coverage Ends in Double Payment
I hope this never happens to you. I received a phone call where someone worked for two different companies and wound up, believe it or not, having two different Medicare Advantage plans. The other crazy part about that, it was the same insure one of the plans was requesting back $200,000. The crazy thing is […]
Unpaid Claims for PANDA
Too many times I have received unpaid claims for Panda. People come to me when it’s not being paid. Panda stands for Pediatric Autoimmune Neuropsych Psychiatric Disorders, and it’s associated with strep infections. Too often insurance companies do not wanna pay claims for that condition. If that happens to you or even other conditions, please […]
From Denying Claims to Patient Advocate, Adria Gross on Navigating Medical Insurance
https://vimeo.com/1014535586?share=copy Interview Participants: Edison Guzman (interviewer) and Adria Gross from Medical Insurance Advocacy (interviewee). Adria’s Background: Worked for two insurance companies where she was trained to deny claims. Gained extensive knowledge about insurance policies, including coverage details, premiums, deductibles, and copays. Transitioned from working within insurance companies to advocating for individuals with denied claims. Services […]
Medicare Advantage Plans Are not Accepted by 75% of Doctors
You know, 50% of the doctors and hospitals no longer accept the Medicare Advantage plans. You have only one Medicare card if you have the Medicare Advantage plans. But the issue is if you wind up in a rehab and if they’re using AI at the insurance company, artificial intelligence, within three days after you […]
How to Determine if a Medical Procedure or Medication is Covered
Navigating the intricacies of health insurance can be a daunting task, especially when you’re trying to figure out if a particular medical procedure or medication is covered under your plan. Knowing what is and isn’t covered can save you from unexpected medical bills and ensure that you’re getting the most out of your insurance. This […]
A Little Love Inspires Everyone
Hello, everybody in my book apparently Different. There’s a chapter about Allison Murphy. The title of the chapter is Allie. A Little Love Inspires everyone. I’ve known Allie since she was an infant. She and my son were both in early intervention. Allie was born with cerebral palsy. She has been in a wheelchair her […]