Medical bill review and accuracy checks
We confirm whether your bill is accurate and identify the problems when it is not. That means comparing the itemized statement against your records, your explanation of benefits and your plan documents — looking for duplicate charges, services you never received, incorrect coding, out-of-network charges that should have been in-network, and balance billing that is not permitted.
What you get: You learn exactly what you actually owe, with the reasoning behind it.
Fixing the issues we identify
Finding an error is the easy half. We contact the billing department, request corrections and rebills, escalate when the first person cannot help, and document every contact. If an insurer is involved, we file the appeal and supply the supporting material it needs to succeed.
What you get: The problem gets corrected instead of sitting in your inbox.
Gaining satisfactory treatment
When authorized care is delayed, denied or falls short of what was agreed, we push on your behalf. That includes prior authorization problems, referrals that stall, and coverage decisions that do not match the plan language.
What you get: Care that was promised actually happens.
Gaining effective medication
Formulary exclusions, step therapy requirements and prior authorization denials keep people from medication their prescriber chose for a reason. We pursue exceptions and appeals, and look into manufacturer and foundation assistance where a drug is unaffordable.
What you get: Access to the medication that works, at a cost you can carry.
Getting necessary documents and answers
Itemized statements, explanations of benefits, medical records, plan documents and written denial reasons are all things you have a right to, and all things that can be slow to arrive. We request them, follow up on them, and explain what they say.
What you get: Consider your questions answered.
Claiming money you are owed
Overpayments, duplicate payments, refunds after a corrected claim, and reimbursements for covered out-of-pocket costs often go unclaimed simply because no one asks. We identify what is owed and pursue it.
What you get: Money that belongs to you comes back to you.
Making debt as affordable as possible
Once the balance is accurate, the question becomes what to do about it. We look at hospital financial assistance and charity care policies, negotiate balances, and structure payment plans that fit a real budget rather than a collections timeline.
What you get: A number you can actually pay, on terms you can actually keep.
