CLAIMS Resolution and Maintenance
No matter which type of health insurance plan you have; individual, employer group, Medicare or retiree benefits, I can help you resolve issues with your claims to fit your short term or long term needs. These services include:
- Reviewing your current health plan for clarification of benefits and to explain how the plan works; out of network benefits versus in network and the deductibles and out of pocket max.
- Managing all the paperwork involved with medical claiims; EOBs, statements, correspondence/notices from insurer.
- Tracking and monitoring your health claims, making sure that all your claims are being paid properly by the insurer.
- Reviewing any claim denials or rejections for possible resolution; depending on the denial reasons.
- Contacting the medical provider on your behalf to resolve any claim problems.
- Filing out-of network claims to your insurer
- Filing an appeal on your behalf
- Reconcile medical bills with EOBs before making any payments to medical providers.
- Evaluate Medicare Part D prescription drug plans every Fall.
- Consult and assist with Medicare enrollment issues.
- Resolve Medicare problems with claims or eligibility issues.
I can also manage your claims ongoing to fit your long term needs. If you have several out-of network providers who don't bill your insurance, I can file those claims on your behalf and monitor and track their status until you're reimbursed.
Why Use My Services?
- Save money by understanding your plan and how your claims are paid, either to you or your provider.
- Save time by not having to deal with long phone calls to the insurer or providers.
- To take the burden off of having to manage your claims, you can focus on your health and not the administrative tasks.
- No need to be located near me, I can work remotely.
Are you a Fiduciary?
I work with several Fiduciaries who value my services as it saves their office time and money. I can manage your clients' health insurance claims for short or long term and I'm a good asset to have when needing assistance with any health insurance question. Call or email me for more information.
Contact me for a free 15 minute phone consultation and let's see how I can help you!
