In this interview, Edison Guzman speaks with Adria Gross, a seasoned health insurance expert and founder of Medwise Insurance Advocacy. Adria shares insights from her 30+ years of experience in the health insurance industry, starting from her time working for insurance companies where she learned how claims were denied. Over time, she transitioned to becoming an advocate for individuals, helping them navigate denied claims and insurance issues.

Adria explains that many people encounter denied claims due to out-of-network providers or policy restrictions like having an HMO instead of a PPO. She now assists clients by challenging denied claims, negotiating bills, and securing pre-authorizations for procedures. Her book, Solved: Curing Your Medical Insurance Problems, offers readers case studies and actionable steps to resolve insurance issues themselves.

Throughout the interview, Edison emphasizes the value of Adria’s work and her ability to assist individuals who face complicated insurance challenges. Adria also invites viewers to reach out to her through her website or by phone for personalized advice and assistance with denied claims, stressing her commitment to helping people resolve these complex situations.

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Adria Gross
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