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 […]
Overnight Medical Bill for $43,000 Fully Covered
Hi everyone. I gotta share this story with you. A gentleman was experiencing major pain, which involved kidney stones. He was kept in the hospital overnight and the pill was $43,000. It involved two different insurance companies. Neither of them would pay saying it wasn’t medically necessary. And they’re also saying like, who’s really responsible. […]
What If You’re Unable to use Generic Medication?
I hate to say this, but too often you are unable to be on a generic drug for your condition. If this happens to you, please ask your doctor to write a letter to fight for you to receive coverage for the correct medication. Sometimes your doctor will also need to reach out to your […]
Saved $600 Per Month for Compound Pharmacy Medication
If you go to a compound pharmacy for medication and they do not submit the bill to your prescription plan, please do not ignore the possibility of receiving reimbursement for that compound medication. I recently was able to save my client $600 a month. They get medication every week, $150, $600 a month, so that […]
Filing a Medical Insurance Claim
Dealing with medical issues can be stressful enough without adding the complexities of insurance paperwork. However, understanding the process of filing a medical insurance claim is essential for ensuring you receive the benefits you’re entitled to. In this comprehensive blog post, we’ll walk you through the steps of filing a medical insurance claim so that […]
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 […]
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 […]
Do I Need a Referral to See a Specialist
Navigating the healthcare landscape can be complicated, especially when you need specialized care. One common question many people have is whether they need a referral from a primary care physician (PCP) to consult a specialist. The answer varies depending on your insurance plan and healthcare needs. This blog post delves into the factors that determine […]
$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 […]
Couldn’t Pay Insurance Premiums After Brain Surgery
A recent client had brain surgery and they were so sick for a period of time, they couldn’t even read their mail and pay their health insurance, so now they’re at a point that they can back pay, and they reached out to me and when I was able to prove that my client was […]