Where Does Insurance Company CEO Salaries Come From?
The multiple giant insurance companies feed finances to the executives of the insurance company as well as the stockholders. Much of that money and the pay for the multiple senior executives at the insurance companies, who almost all make over a million dollars a year, came from saying no to people who file claims for […]
Why the Difference Between a Copay and Coinsurance Matters
Understanding the difference between a copay and coinsurance isn’t just about learning insurance jargon; it’s about seizing control of your financial destiny in a healthcare system designed to be confusing. The anxiety of opening a medical bill, bracing for a number you can’t possibly predict, is a universal fear. This single piece of knowledge is […]
Profits in Insurance Industry Are Booming
Profits in the insurance industry are booming. UnitedHealthcare’s operating profit margin was about 5.8% on revenues of $281.4 billion in 2023. Insured individuals not only pay high premiums, but they also face deductibles, copays, and unexpected bills. Insurers exploit the system by enrolling primarily young, healthy individuals, and they manipulate costs, largely enabled by policies […]
The Truth: Medical Billing Advocate Success Rates
Evaluating the medical billing advocate success rate for MedWise Insurance Advocate requires looking past the numbers everyone else quotes. You’re facing a mountain of medical debt, feeling cornered by jargon-filled letters and relentless phone calls. The question isn’t just about winning; it’s about how much you truly save and whether the fight is worth the […]
Who’s Responsible for the Medical Appeal Process?
I hope you’re having a fantastic day. The responsibility of appealing may not be clear between the patients, the providers, or between the employers and the employees, and the documentation requirements to appeal can create additional barriers. As a beneficiary, you have a right to appeal your insurer’s decision. Due to artificial intelligence, all too […]
Difference Between in-network and out-of-network Charges SCAM
That gut-wrenching moment you open a medical bill and see a number so staggering it feels like a typo isn’t an accident. Understanding the difference between in-network and out-of-network charges is the only defense you have against a system that profits from your confusion. This isn’t just about healthcare; it’s about protecting your financial future […]
Denied Medical Claim Because of Non-Preauthorization
Have you ever been in a situation where you were never informed that a pre-authorization was required? Well, this claim was denied because my client did not have pre-authorization. If this happens to you, please reach out to Medwise. I recently overturned a case that was over $60,000. Please call me, Adria at Medwise Insurance […]
Medical Bills for Rape Were Written Off Because of This
I have to say this is one of the worst stories I ever heard. My client was raped, and the bills were over $82,000. The case went to court, and finally, the judge she went before felt so sorry for her. They were able to arrange for the bill to be written off, and it […]
Can’t Understand Your Explanation of Benefits?
Are you having a difficult time understanding your explanation of benefits and the reason for the denials on your bill for over a hundred thousand dollars? I used to write the policies for the insurance companies and was taught how to deny claims on behalf of the insurance companies. I normally reduce the medical bills […]
$250,000 Insurance Claim Denied When Turned Age 65?
I recently received a phone call from an attorney where the health insurance carrier never informed the patient that at the age of 65 they needed to switch over to Medicare. So here’s a case where the person paid over $250,000, which the insurance company kept. Well, I could think about how incredibly unfair it […]