Working With Collections Agencies on Medical Debt
Working with collections agencies requires caution when the debt began with a denied medical claim. The collector’s demand does not prove that the bill is accurate, properly processed, or legally collectible. Collection calls can create pressure to pay immediately, reveal financial information, or accept a settlement before you understand the account. That urgency may cause […]
Will Your Medical Bill Increase if You Dispute It
No matter what the outcome of your bill is, your cost will not increase if you dispute the bill. When you receive care, there may be items or services your doctor could not reasonably have anticipated. In those cases, whoever reviews your claim may determine that the cost of care was appropriate and leave your bill […]
Why You Always Want a Pre Approval Letter
Many services require pre-authorization from your insurance company. That means your doctor has to get approval before doing a test or procedure. If that doesn’t happen, your claim could be denied, even if you really needed that care. Always ask if your service needs pre-approval to avoid unexpected bills. I recommend you get the approval in writing from your […]
Negotiating Medical Bills Effectively After a Denied Claim
Negotiating medical bills effectively can mean the difference between paying an inflated balance and resolving a denied claim for a fair, manageable amount. A denial can feel final, especially when collection notices arrive or the provider insists the full balance is your responsibility. But billing errors, coding problems, missing documentation, authorization disputes, and insurance processing […]
College Students Must Prove What?
Students in college are normally able to purchase health insurance through their university. I’ve handled many cases involving college health insurance. I must say, the health carriers are very suspicious when the students are submitting claims, and very often, the college student, with each and every claim, has to prove that they are the insured. I couldn’t believe […]
Why a Letter of Medical Necessity May Save You Thousands
Medical claims that require pre-approvals or claims involving newly developed drugs or treatment, and many types of behavioral health treatment may require a letter of medical necessity from the treating doctor before the claim is approved. Claimants should be aware that their physicians are ready and willing to back up their claims. You do not want to […]
State vs Federal Regulations for Health Insurance Claims
State vs federal regulations can dramatically affect how denied medical claims, insurance appeals, billing protections, and patient rights are handled across the United States. Many patients assume all health insurance rules operate under one unified system, only to discover that state laws and federal laws sometimes overlap, conflict, or apply differently depending on the insurance […]
HIPAA Privacy Rules Explained for Insurance Claims and Appeals
HIPAA privacy rules explained in simple terms can help patients protect their medical information while navigating denied medical claims, health insurance disputes, and complex billing situations. Across the United States, many people feel confused about what healthcare providers, insurance companies, and third parties are legally allowed to access or share. That confusion often becomes even […]
Dispute Resolution for Self Paying Individuals
Hello, everybody. I hope you’re having a fabulous day. Dispute resolution establishes a process for solving billing disputes between patients, providers, and insurance plans, and particularly for uninsured or self-paying individuals. MedWise will help you to dispute any of your medical bills. Please call me. I’m here to help you. https://vimeo.com/1188114630?share=copy&fl=sv&fe=ci
Always Ask for the SPD
Hello, my friends. Have you ever heard of an SPD? Summary Plan Description. Ask for this information from your health insurance carrier. This description will help you to understand what you are covered and not covered for on your health insurance policy. When I am appealing your claims, this information will help me to better understand your […]