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An expert in health plan disputes, medical benefit administration and medical bill review. I can answer questions regarding health plans, claims, denials, appeals, coverage and incorrect balance billing by healthcare providers.
25 years working for or with almost every major insurer or reinsurer that provides health insurance.
ACAP, MBAA, several local business groups and chambers of commerce.
Many industry periodicals
Associate Life & Health Claims
I can surely help you research this. If you would be kind enough to email me directly, I would prefer communicating that way as this will take some conversations together to go over your condition, what
Have you submitted a termination notice to HP yet? If not, I suggest that you let them know you are terminating on 7/31. They will go over the termination procedures with you. When you are terminated,
Provider contracts require a physician to use in network labs. If your GYN used a non participating lab, you need to hold him/her accountable. You can appeal this with Aetna and you can also file a
You must meet the eligibility requirements of his health plan to be covered and if you don't meet them then you are not eligible and the plan won't pay for your medical expenses. Did your husband or you
Ask that doctor for a copy of the "law" he is quoting. Your are probably dealing with an outside billing company. Talk to the doctor himself. Send the doctor a certified letter asking him for clarification
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