At A Nursing Care Facility with Medicare Advantage Plan?
Hello everyone. Recently I received many phone calls for people who purchase a Medicare Advantage plan. Rather than having a Medicare coverage with a supplement and a prescription plan, I always tell people, you have one card or three cards. When people go into a rehab center and they have a Medicare Advantage plan, they’re […]
Denied Medical Bills Over $90,000 Overturned
Hello everyone. I had a recent case where this person kept on receiving denied medical bills and they had excessive billing from the providers. To make things even worse, his insurance company changed over the time period when he was having these multiple procedures involving surgery. A couple of the providers were out of network […]
Mental Health Outpatient Charges Covered
I had a recent case where a gentleman had $12,000 in mental health outpatient charges. The worst thing was he had no insurance. By us contacting the Department of Social Services, we were able to get Medicaid to pay off all his claims. If you ever need help, please call me Adria, Medwise Insurance Advocacy. […]
Broken Jaw Medical Bill Denied Because Not Medically Necessary?
I was recently able to help a family who had $35,000 worth of bills. They had a fall, broke their jaw, and believe it or not, this also involved multiple insurers. The insurers kept on denying the claims stating, even though she broke her jaw, it wasn’t necessary for her to have covered charges. Crazy. […]
Who Covers When Multiple Insurance Policies?
I had a case recently involving three insurance companies. The insured was working as a New York City police, and his wife was covered under his plan it the beginning. The insurance companies would not speak with the other, the other ones, but when we had to go to a higher level, which we did […]
Hospital Bill Determined as Not Medically Necessary?
I hope you’re having a beautiful day today. I had a case recently where the gentleman was in the hospital due to severe leg pain. He spent two nights at the hospital and was stuck with over $45,000 in medical bills. The insurance company was stating that the two nights at the hospital were not […]
Not Covered After Being Told That You’re Covered?
A recent client was informed by the surgeon’s office prior to the surgery that my client was covered for this upcoming surgery. Well, guess what? He was not covered, so now they’re billing my client for only $80,000. When I discussed the situation with the medical Provider’s billing office, it took months, but we were […]
Documentation Needed for Filing a Medical Insurance Claim
Filing a medical insurance claim can be a daunting process, especially when you’re not sure what paperwork you need. To help streamline this essential task, this blog post offers a comprehensive guide on the types of documentation you’ll need to gather when filing a claim. Why Proper Documentation Matters Incorrect or incomplete documentation can result […]
Covid Client Billed $54,000 With No Insurance Reduced to $0
I recently had a Covid client. They were being billed $54,000, but the sad thing was they had no insurance, and at that point, even the government stopped covering the covid uh, patients. They, they stopped covering, I believe it was around February of 2022. But thank you, I was able to reduce the bill […]
$500,000 Medical Bill Reduced, Even When Insurance Payout Was Insufficient
A recent client had an injury while sightseeing on a van. They had a fall and they sued the bus company and tour operator. My client received insufficient funds to pay all the medical bills, so thank you. I was able to reduce his bill from $500,000 down to a hundred thousand dollars. Now it […]