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Insurance & Billing
Medical Billing & Insurance Advocacy
Stop spending hours trying to figure out who is responsible.
What this covers
One defined medical bill, health-insurance claim, routine denial, processing problem, or closely related billing/coverage issue; up to 4 outbound organizations or follow-up actions within 14 days.
Included
- Review the bill, EOB, denial, or administrative documents through the external secure system
- Identify the apparent administrative problem
- Contact provider billing office
- Contact insurer
- Identify missing information
- Request administrative correction or reconsideration
- Follow routine appeal or reconsideration processes where appropriate
- Coordinate with provider office regarding paperwork
- Track status and document reference numbers
- Provide a clear next-step summary
Not included
- Guaranteeing a bill will be eliminated
- Guaranteeing a claim will be paid
- Guaranteeing a denial will be overturned
- Promising specific dollar savings
- Promising coverage approval
- Debt settlement
- Legal representation
Deliverables
- Written findings
- Contact log
- Next-step checklist
Requirements
- Signed agreement
- Relevant bill, EOB, or claim information
This service provides administrative, informational, organizational, navigation, communication, research and advocacy support. It is not diagnosis, treatment, prescribing, medical decision making, nursing, legal representation, legal advice, insurance sales or brokerage, or emergency care.
$149
Duration
Up to 14 days
Contacts
4
Revisions
0
Mode
Online payment
A substantially larger issue, formal appeal packet, higher-level appeal, external review, numerous records, or complex timeline requires a change order or Complex Insurance Appeal review.