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 […]
Knowing Your Patients Rights Saves Over $34,000
Being a patient advocate, I’m always concerned about patient’s rights and protect them from unfair billing practices. If I see a case where there are issues with medical billing, I always step in to help my clients. I recently overturned a case where my client was being charged an excessive amount by an emergency room, […]
Why You Need to Read Your Insurance Policy
You know, it’s so important that you take the time to read your insurance policy. When I was working for two insurance companies, I helped write those insurance policies. You truly need to know what’s covered and what’s not covered. If you ever have any questions and have no idea what your policy really means, […]
Why You Need a Medical Billing Advocate When Insurance Says “No”
Navigating the labyrinth of medical billing can feel like deciphering an alien language. One minute you’re recovering from a procedure, the next you’re staring at a denial letter from your insurance company, leaving you bewildered and, frankly, terrified. At MedWise Insurance Advocacy, we understand the frustration and confusion that comes with denied medical claims. That’s […]