What type of client am I?

If you have recently had a hospitalization or a prior authorization be denied, or are seeking assistance choosing medical coverage you are an individual.

Individual Services are:

• Coverage Review & Plan Comparison

• Denial Management for Individuals

If you are a doctor, practice, or hospital that is seeking to manage insurance denials or strengthening your prior authorization process, you are a provider.

Provider Services are:

• Denial Management for Providers

• Utilization Review for Providers

• Revenue Integrity for Providers

What is included in a consultation?

After you choose which service best fits your needs, you will be prompted to schedule a consultation with us. Consultations are always free to determine needs and if a denial is eligible for appeal. I will gather information from you and give my best recommendations for next steps.

How do you compare my insurance options?

First, I compare and contrast your options. Many individuals seeking this service are comparing options between two employers. I then take how much your insurance was billed for the previous year and apply it to all your options. This generates how much your yearly premium and total out of pocket cost would have been. We then discuss your current medical needs and choose the best plan that fits you or your family.

Can I request assistance for another individual?

In order to speak on behalf of another individual, you would need to be the individuals Durable Power of Attorney (DPOA) and their Health Care Advocate (HCA). We would need both of these documents before we could discuss any medical or financial information.

Is pricing flexible?

Yes, pricing for individuals is flexible based off of complexity of the service requested. Pricing for providers is flexible based off of case load and services required. Pricing for providers is per case for written appeals, and monthly subscription for Utilization Review and Revenue Integrity services.