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<\/figure>\n\n\n\nClaims Review and Investigation<\/span><\/strong><\/p>\n\n\n\n Send us your insurance EOBs and associated medical bills. We\u2019ll review them for accuracy and let you know whether they\u2019re correct and ready to pay or are in need of further investigation.<\/p>\n<\/div>\n\n\n\n Verification of Benefits<\/strong> <\/mark><\/p>\n\n\n\n Not sure if a certain service or procedure is covered by your plan? Pretty sure something’s covered, but you don’t understand the details? Let us figure out the details for you.<\/p>\n<\/div>\n\n\n\n Identification of In-Network Providers<\/span><\/strong><\/p>\n\n\n\n Seeking services from an out-of-network provider is one of the most common ways to get stuck with a larger-than-necessary medical bill. Whether you don’t have the time or you just don’t know where to begin, we can help you determine whether a provider or facility is in your insurance network prior to services being rendered.<\/p>\n<\/div>\n<\/div>\n\n\n\n Appeals<\/span><\/strong><\/p>\n\n\n\n Appeals usually result when your insurance company denies something that you believe should have been covered. An appeal is very time-consuming and somewhat of a last resort in claims processing and usually requires:<\/p>\n\n\n\n An appeal goes over better when submitted by someone with a clinical background or someone who can at least “talk the talk” (such as a physician, nurse, or patient advocate), as it will be reviewed by a nurse or physician who works for the insurance company and compared to your specific policy coverage to determine whether services that were initially denied should actually be covered.<\/p>\n<\/div>\n\n\n\n Simple Claims Resubmission<\/span><\/strong><\/p>\n\n\n\n Submission to an incorrect insurance payer is a common mistake in medical billing. <\/p>\n\n\n\n No matter the scenario, we\u2019ll get to the bottom of it and make sure your claims are resubmitted correctly.<\/p>\n<\/div>\n\n\n\n Corrected Coding<\/span><\/strong><\/p>\n\n\n\n Every claim submitted to insurance for reimbursement must have a diagnosis code, a procedural code, and, potentially, a HCPCS code. There are a lot of codes out there–and a lot of coding guidelines to be followed. Which means a lot of room for error. We\u2019ll research your claims for potential coding errors, request medical records (if needed), and have any incorrectly-coded claims resubmitted to insurance for reprocessing.<\/p>\n<\/div>\n<\/div>\n\n\n\n Fee Negotiations<\/strong> <\/mark><\/p>\n\n\n\n Oftentimes, even the largest of medical bills are correct…but that doesn’t mean they’re affordable. We’ll work with provider billing offices on your behalf to potentially reduce your balance and set up payment arrangements that you can manage.<\/p>\n<\/div>\n\n\n\n Other Services<\/span><\/strong><\/p>\n\n\n\n Have a problem or question regarding your health insurance or medical bills that you don’t see listed above? Contact us here and we’ll let you know if we can help.<\/p>\n<\/div>\n\n\n\n![\"\"](\"https:\/\/i0.wp.com\/clearhealthcareadvocacy.com\/wp-content\/uploads\/2021\/12\/5.png?resize=150%2C150&ssl=1\")
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