The Professionals at Medical Claims Resolutions have in-depth knowledge of the complexities of our health care industry and work on behalf of our clients as medical claims advocates.
1) We can be your liaison with the insurance company and the provider, stepping in as needed to resolve problems and to ensure you receive all the health insurance benefits to which you are entitled.
2) We can coach you in what to do next, how to know if your claim is paid correctly, how to appeal a denied claim and help make the language of insurance understandable.
We can:
• Organize your insurance statements
• Confirm your insurance is paying according to your policy
• Determine who you should pay and how much
• Have claims corrected or refiled when necessary
• Pursue denials and appeal denied claims
• Resolve issues with insurance benefits and coverage
• Track claims processing and reimbursement
• Thoroughly review your medical bills
• Negotiate discounts or payment plans
• Resolve billing issues and obtain refunds
• Coordinate multiple health plans
• Assist with explaining choices during employer open enrollment
• Provide an explanation of plan benefits and options on a personal level
• Provide group learning opportunities
• Negotiate with providers on patient balances
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