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  You are here:  AllExperts > Industry > Health Plan > Medicare, Medicaid, Insurance, HMO problems

Expert Profile: Tricia

Expertise:  Has your medical insurance company denied your claim and refuses to pay? Have you received a pre-authorization and still your insurance company refuses to pay? How can you get your insurance company to reverse a denied claim? How do you get a provider to waive your copayment if you are financially unable to pay? What are fee schedules and are you responsible to pay them? Can a provider sue you for a unpaid bill and will they? Can a provider send me to a collection agency for a medical bill? If my insurance company does not pay, am I responsible? If you have these questions or others on why your insurance company is not paying your bills, I can help. I can give you "tricks of the trade" to get your insurance company to pay.
In the medical field for over 18 years spending majority of time in the collections aspect.

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Recent Answers from Tricia
2008-11-19  Medicare Part A and B Coverage Hi Carolyn! You need to call Medicare to ask but I think you can. Medicare would be the primary at their age and Cobra would be the secondary......... I know we did that at where I work------the...
2008-11-18  breast augmentation and tummy tuck Hi Stephanie! These types of surgeries are considered cosmetic therefore not many insurance companies pay. However if you can prove that these surgeries are needed due to medical reasons beyond a...
2008-11-17  Leaving AMA and duplicate billing Hi Alex! The Dr has the right to bill twice since you were really in twice---he changed the codes hoping to get paid. Insurance should pay even though it was billed for the same day since the codes...
2008-11-15  Out of Network, Emergency Surgery Hi Pat! Even though a hospital is in your network not all the Dr's and surgeons have to be.........being in network with an insurance company reduces your payment of services so many Dr's will not participate...
2008-11-10  Threatening calls from provider Hi Nina! I would suggest to call Medicaid and ask them if you are liable...the fact that she does not participate with Medicaid usually means she does not need to abide by their guidelines. Thus she...
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