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- Linda Woolsteen
Health Plan Administration/Expert Profile
Expertise
I can help you with questions about health insurance. If you feel your insurance company is mistreating you. Are they telling you they are checking eligibity, pre-existing, etc. Or you just don`t understand how your insurance works or don`t understand what a PPO is.. I can help you.
Past/Present Clients
One company I worked for I was the underwriter for the Academy of Medicine of Cleveland and the Ohio Bar Association. I was also a supervisor of our customer service department.
What do you like about this subject?
Health Insurance costs a lot of money. With over 25 yrs experience in this field, I enjoy helping others navigate through this confusing environment. We all have to have it and If I can help someone using my knowledge it is very worthwhile to me.
What do you still hope to achieve/learn in this field?
There is money in Claims and it can either be in your pocket or theirs! Let me do an audit of your claims for you & see if they were processed correctly. I will read your policy and see if they paid/billed claims correctly. I an expert with appeals, predeterminations. 330.721.6767 or Chandegar@yahoo.com. State background checked.
Something interesting about this subject that others may not know:
Precertification DOES NOT guarantee benefits. No benefits are ever guaranteed. Also, if you are giving money to your provider to meet your deductible.. that money does not go to your deductible by you paying your provider. The only way your deductible gets met is by claims being submitted to your insurance company and if applicable; them applying the claim toward your deductible.
Something controversial or provocative about this subject
I have wrote to our state senator asking for a bill to be passed. For what? Do you know that there are many cases in which money floats back & forth between your Insurance Company & your doctor/hospital and neither of them actually want it! I have proposed it be sent to YOU! when this happens.
Average Ratings
Recent Reviews from Users
K = Knowledgeability C = Clarity of Response T = Timeliness P = Politeness| User | Date | K | C | T | P | Comments |
|---|---|---|---|---|---|---|
| Danny | 10/31/09 | 10 | 10 | 10 | 10 | Question was answered in a clear, precise ..... |
| Sam Strickland | 07/01/09 | 10 | 10 | 10 | 10 | Wow, this is fantastic info. I do ..... |
| Michele | 06/25/09 | 10 | 10 | 10 | 10 | Thank you so much! You helped a ..... |
| Sowjanya | 05/19/09 | 10 | 10 | 10 | 10 | Thanks for ur quick response Linda. Really ..... |
| grace | 05/07/09 | 10 | 10 | 10 | 10 | Thank you so much for the info ..... |
Recent Answers from Linda Woolsteen
2009-11-09 Hep C:
Hi, As far as I know, Hepatitis C is an automatic decline. I have not worked for a health insurance company in the last few years but for the last 20 yrs or so before that, the companies that I have
2009-10-28 Lapse in coverage ?:
Hi, I apologize for the lateness of my reply. I had some medical issues of my own this past week and wasn't online very much. Anyways, you are correct that there is usually a grace period. It is
2009-10-24 quesiton about coverage and short term plan:
Hi, All I know is that the company I worked for would not accept a CCC from an Individual Policy for credit toward the PE time period. In my 25 yrs working with insurance companies I often asked
2009-10-24 quesiton about coverage and short term plan:
Hi, When you go from one plan to another, you want to obtain your CCC (Certificate of Creditable Coverage) from the prior insurance carrier or carriers if there is more than one... get a CCC from each
2009-09-12 Primary refuses to pay hospital bill:
Hi, I sincerely apologize for not replying sooner. I was not able to log into the site for some reason. I have never had this problem as you may note from how fast I have responded to questions in
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