Frustration for Denied Insurance Claims Escalate
Americans are crushed by skyrocketing premiums, crippling the medical debt and denial of care that really this devastates millions of lives. It should be no surprise that frustration has reached a boiling point, igniting a fierce, widespread demand for real systemic change. Ordinary people are clear that insurance companies don’t exist to protect their health, […]
Will COBRA Cover You Over Age 65?
So you’re over 65 years old and you’re working for an employer who has over 20 employees. Now you’re about to retire and you’re applying for Cobra. The question is, will Cobra cover you? Because you are now over the age of 65, please call me and let’s discuss the next steps you should take. […]
Health Advocate Bill Saver Can Slash Your Medical Bills
The health care billing system isn’t just confusing—it’s designed that way. Charges often vary based on your insurance plan, location, and provider contract rates, making it nearly impossible for patients to determine what’s fair. Common Billing Traps: Out-of-network charges from in-network visits CPT coding errors that trigger denied claims or inflated charges Facility fees added […]
Emergency Room Charges of $9,500 Dropped to $1,800
I worked on a case recently where the maximum charges for the emergency room should have been no more than a thousand dollars.The hospital was paid 90 509,500 and they were still billing my client for an additional $1,800. When I reached out to the billing of the emergency room charges that were $1,800, believe it […]
Anesthesiolgist Bill Not Covered
Have you received the bill for anesthesiology after being covered for pregnancy and delivery? If they never informed you that the provider was out of network and now you’re being charged a tremendous bill, please reach out to MedWise because there’s a great chance that we will either get your bill reduced to a very small […]
Are You Really Responsible for Those Medical Bills?
Have you received multiple bills being in a hospital? Are you questioning whether or not you are really responsible to pay these bills? Very often people receive their explanation of benefits and feel that they have to pay for additional services. I had a client recently who looked at their explanation of benefits for $6,000. Guess what? They […]
Who’s Processing Your Medical Bills?
In a conversation between Edison Guzman and Adria Gross of MedWise Insurance Advocacy, they discuss the significant impact of who processes medical bills. Adria highlights that when third-party billing companies handle claims, especially those paid on a percentage basis (a common practice outside of states like New York), it becomes exceedingly difficult for patients to […]
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 […]