Is Balanced Billing Legal?
Have you ever been balance billed? That is illegal. If you have met your deductibles for the year, I recently overturned a case where my client was being balance billed for $16,000. Please call me if you have any suspicion that they’re charging you too much. I’m here to help you. Thank you. https://vimeo.com/1076478925?share=copy#t=0
Don’t be Afraid to Ask Your Medical Provider a Question
You know, all too often seniors are frightened to ask questions to their medical providers before every visit. It’s best that you think about the questions you plan on asking your medical provider. Patients need to be educated about their legal rights. If something doesn’t seem right, and especially if you feel that you’re being […]
Are You Still Covered for Your Doctor?
You know, all clients need to be educated on the doctors, hospitals and treatment that they are covered for. So often you might see a list of doctors and hospitals, which are no longer covered on your policy. One of my recent clients was in an emergency room and the pathologist was charging my client […]
What Advocates for Insurance Benefits Know That You Don’t
Insurance policies are marketed as safety nets—but they’re built on a foundation of legal language, policy exclusions, and fine print that most consumers simply don’t understand. When illness strikes or treatment becomes necessary, many are shocked to find their claims denied, partially paid, or lost in red tape. What Happens When You Go It Alone? […]
CT Scan Bill Reduced from $18,000 to $400
My friends too often when people come to me as they’re realizing that they had been charged $18,000 for a CT scan. When looking at your charges, very often they’re erroneous and you are being gouged on your bill. I recently saved my client tons of money by reducing his CT scan bill of $18,000 down to […]
Advocate Health Care Billing Secrets Every Patient Should Know
Behind every medical invoice is a complex system few understand—one designed more for compliance and profitability than patient clarity. At the center of it: automated billing codes, contracted rates, and insurance loopholes that often result in charges being passed on to unsuspecting patients. How the System Works (And Why It Doesn’t Work for You) Advocate […]
Can Support Groups Help With Your Medical Condition?
You know, sometimes people are so emotional about their condition. I often try to find them support groups and other social support to enable my clients to receive help with their physical and emotional conditions. You might even be interested in my latest book that came out, Apparently Different. These are the type of stories […]
What If Your Insurer Ask for Their Money Back
Many people are reaching out to me when everything was scheduled for their surgery, and they undergo the procedure. Six to 12 months later go by, and now the insurer is asking for the money back. There are a lot of different reasons why this is occurring. If this happens to you, please call me.I’m […]
Decoding Your Hospital Bill – Understanding CPT Codes, EOBs, and Overcharges
Feeling lost or outraged when you look at a hospital bill? You’re not alone, and help is here! Watch this crucial interview with Edison Guzman and insurance advocate Adria Gross to uncover the secrets hospitals might not want you to know. Learn exactly what to demand on your bill (using specific codes!) to verify every […]
Do This to Know What’s Covered in Your Policy
Insurance companies very often give you a brochure or it’s like a six to 10 page, so-called policy, which describes what’s covered and what’s not covered on the policy. On that six to 10 page, so-called policy, there will be a list of coverages and exclusions. It’s so important to look at the entire insurance […]