How to Get a $25,000 Medical Bill Paid if Denied by Health Insurance

$176,000-Bill-Reduced-to-$0-After-Speaking-with-a-Medical-Bill-Advocate

Hi, everyone, one of my clients had surgery and her major insurance company would not pay it. When I was able to prove that this surgery was medically necessary. That’s how they often deny saying it wasn’t medically necessary. So when I was able to prove that this surgery was medically necessary the insurance company […]

$500,000 Out of State Medical Bill Gets Covered in Full

$500,000-Out-of-State-Medical-Bill-Gets-Covered-in-Full

I worked on a case involving in New York City hospital where this person had brain surgery. Even though the hospital was paid money from her insurance company, which was out of state. She came from the Midwest to New York and her out of state insurance company paid for at the hospital was still […]

Out of Network Gynecologist Gets Paid Even with an HMO Policy

Out-of-Network-Gynecologist-Gets-Paid-Even-with-an-HMO-Policy

So this is a crazy case where my client had difficulty with pregnancy. She needed surgery and she found the gynecologist that was out of network. The gynecologist told my client that even though he was out of network, he would come in to do the surgery after the first surgeon made the incision. The […]

Is Cyberknife Radiosurgery Covered?

Is-Cyberknife-Radiosurgery-Covered

I don’t know if he ever heard of this one, but cyber knife radio surgery I handle the case recently and was able to get my client covered for a hundred thousand dollars. You have to be careful as for what your insurance policy will cover. Every insurance policy differs on what they’ll cover. You […]

Will Your Insurance Cover Hearing Aids for Your Child?

Will-Your-Insurance-Cover-Hearing-Aids-for-Your-Child

I recently had a case where this four year old boy could not get a cochlear implant. The crazy part about the insurance policy was If the child was deaf in one ear but not the other the insurance company would not cover the procedure. So I asked you if you have the time and […]

The Easiest Way to Get Your Insurance Company Paying Your Claims

The-Easiest-Way-to-Get-Your-Insurance-Company-Paying-Your-Claims

An attorney recently brought me into a case, which was almost twelve thousand dollars. The claim was definitely payable, but the issue was the insurance company kept on denying it. Just remember, this is when you are able to prove that according to your health insurance policy this procedure is covered. You can get that […]

Surgeon Bill of $273,000 Reduced to $27,000

Surgeon-Bill-of-$273,000-Reduced-to-$27,000

I’m very often hired by an attorney to help their clients with their bills. And I was called into a case where the doctor performed back surgery, and this doctor was requesting over $273,000. After reviewing all the bills, I was able to make a reduction, of, you started out at $273,000, I reduced it […]

What to do if You Can’t Use a Specific Doctor Outside of Your Network

What-to-do-if-You-Can't-Use-a-Specific-Doctor-Outside-of-Your-Network

There are times when a patient is unable to see a doctor who’s on their plan. So when this happens, it’s best to contact your insurance company and see if you can request an exception. And if you’re able to prove that there’s no other doctor who can provide these Services who’s on your plan. […]