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 […]
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 […]