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Medicare, Medicaid, Insurance, HMO problems/Expert Profile
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? 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. I have limited knowledge on Medicare and Medicaid and that is not my expertise. Each state is very different regarding Medicare and Medicaid so you need to review their website when you have questions. So please no Medicare or Medicaid questions!!
Experience in the area
In the medical field for over 20 years spending majority of time in the collections aspect.
Average Ratings
Recent Answers from Tricia
2009-11-04 billing a patient:
Hi Dana! There is really no time limit set in stone in most states however most use 5-7 years......I would suggest explaining to patient why it took so long to bill them if you do plan to do so.
2009-11-03 med. coverage/MSA:
Hi Carter! Cobra is usually offered when you leave the employment of a company not while you are still there and not all states require companies to offer it. Your best bet would to look for perhaps
2009-10-31 medicaid/hospital bills:
Hi Jennifer! Not really sure since this is a legal question not a medical question. Most hospitals have a "charity care" program where it pays for most of a hospital bill or sometimes all of it
2009-10-23 Difference between medicare advantage and medigap plans:
Hi Jack! I found this article on the Internet that will clearly explain the difference. Medicare Advantage and Medicare Supplement Plans provide additional benefits to your Original Medicare coverage
2009-10-22 Insurance granted then denied:
I am not sure about hospitals in Europe as far as how hard they will try to collect. I know that hospitals in the US can actually garnish federal and state refund taxes in some states and also put a negative
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