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I provide specialized nurse consulting services focused on utilization review and denial management for both healthcare providers and patients. With a strong foundation in clinical practice and insurance expertise, I help providers ensure medical necessity, strengthen documentation, and recover reimbursement for denied claims. For patients, I offer guidance and advocacy to understand, appeal, and resolve insurance denials.
Through evidence-based review, strategic appeal preparation, and education on payer compliance, my goal is to bridge the gap between clinical care and coverage — ensuring fair, accurate, and timely reimbursement for quality healthcare.
PLEASE NOTE:
Prior to scheduling a consultation, verify we are practicing in your state by checking the map on our About page.
Coverage Review & Plan Comparison
Choosing the right health insurance plan can be overwhelming. As a registered nurse specializing in insurance navigation and coverage advocacy, I help you understand your options and make confident, informed decisions.
This service includes:
Review of available insurance plan options
Comparison of coverage benefits, out-of-pocket costs, and limitations
Evaluation of provider networks, referral needs, and prescription coverage
Identification of potential coverage gaps or restrictions
Personalized guidance based on your healthcare needs and preferences
My goal is to empower you with clear, unbiased information so you can select a plan that best supports your health and financial well-being.
Pricing: Free for Open Enrollment 2025!
Denial Management for Individuals
Dealing with an insurance denial can be overwhelming — especially when it impacts the care you need. As a registered nurse specializing in insurance reviews and patient advocacy, I help individuals understand, challenge, and overturn denied medical claims.
My goal is to make sure your voice is heard and your care is covered.
Pricing:
Initial Consultation: Free
Denial Investigation: $50
Includes medical record request and investigation of medical necessity and previous provider appeal steps.
Written Appeal: $150
Includes written appeal letter to payer denying claim using evidence based research on medical necessity for medications and/or interventions performed.
This package is only for individuals/patients seeking to appeal their health care coverage denials.
Denial Management for Providers
As a nurse, I bring a unique blend of clinical understanding and payer-side insight — allowing me to bridge the gap between medical care and insurance requirements. My goal is to help your organization achieve fewer denials, faster appeals, and stronger financial outcomes while upholding the highest standards of patient care.
Pricing:
Initial consultation: Free
Per written appeal: $250
This package provides denial management services only.
Utilization Review for Providers
Ensuring appropriate, efficient, and compliant care delivery is essential — both for quality outcomes and for reimbursement integrity. As a registered nurse specializing in utilization review (UR), I provide expert support to healthcare providers seeking to strengthen their review processes, reduce denials, and align care decisions with payer criteria.
This also includes medication prior authorizations.
Pricing:
Initial consultation: Free
Monthly Subscription: Varies based off practice size and caseload
Small or independent practices: $300 Base Rate
Small Hospitals: $500 Base Rate
This package provides Utilization Review services only; this does not include denial management.
Revenue Integrity for Providers
Effective utilization review and denial management are essential to maintaining both clinical integrity and financial stability in healthcare. As a registered nurse specializing in these areas, I help providers bridge the gap between care delivery and insurance compliance — ensuring appropriate utilization, accurate documentation, and successful reimbursement outcomes.
My services are designed to strengthen your review processes, minimize denials, and recover lost revenue, allowing your organization to focus on what matters most: exceptional patient care.
Pricing:
Initial Consultation: Free
Monthly Subscription: Varies based off practice size and caseload
Small or independent practices: $500 Base Rate
Small Hospitals: $700 Base Rate
This package provides both Utilization Review and denial management services.