Navigating the sea of healthcare bills and explanation of benefit (EOB) forms can seem like trying to float through a hurricane on a raft. It can reek havoc on an individual’s finances and credit. The time delay between the provider filing the claim and the insurance company sending payment makes it difficult to figure out how much you owe, and how much was applied to your deductible. If is often during that time frame, you will be billed the full amount by the provider, yet you haven’t received your benefit statement. Multiple providers, procedures and tests add to the turmoil. Our team of nurses, medical coders, and bill review experts representing over 35 years of experience can streamline this process for you quickly and efficiently.
Our team does more than just organize your paperwork, we also audit for errors in either the diagnosis code, or the service code that is costing consumers hundreds of thousands of dollars. We streamline this process for you quickly and efficiently.
We sort through the maze of paperwork to determine if you were:
- Billed the correct procedure code for the service rendered
- Charged within the billing guidelines for your geographic area
- Determine what was reimbursed to your provider
- Determine what was applied to your deductible
- Determine how much is owed and to whom
- Review bills according to your plan’s provisions including hospital bills
- File an appeal for denied services in insurance accepted language
- Recover overpayment
- Negotiate payment terms as may be needed with providers on your behalf
- Organize medical bills, with EOBs
- Provide quarterly summaries of all your claim activity
- Provide analysis and assistance in choosing appropriate medical plans during open enrollment periods
- Assistance in determining your HSA or FSA yearly contribution to meet medical needs
- Provide end of year totals for use on income tax filing
Find the plan that fits your need