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Medicare, Medicaid, Life and Health Insurance/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
2012-01-17 insurance co-pays & deductibles:
Hi James! An HMO plan usually has no copay to the patient and pays at 100% with some HMO's requiring a referral. Must stay in the network. There is no coverage for out of network providers. A PPO
2012-01-13 Insurance:
Hey Susan----- Once your old insurance expires they are not responsible for any services beyond that date. Your new carrier would be responsible. Coverage is determined by date of service and period
2012-01-12 Tummy tuck:
Hi Brenda! The only way to know 100% is to call your carrier directly........every policy is unique and no way to tell if you personally have coverage for a procedure. In general though most insurance
2012-01-10 Dental Insurance denied wisdom tooth extraction:
Hi Jan! Only way to fight them is to call them and appeal their decision. Usually the explanation of benefits show you what your next step is. All insurance companies have different policies so you
2012-01-05 insurance question on breast augmentation and tummy tuck:
Hi Andrea! Unfortunately you have the two toughest insurance companies to deal with........Blue Crosses are very strict as so is Medicare on what they pay and what they do not pay for. As long as
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