If you are facing a sticky medical bill situation, you may need to hire a medical bill advocate to help you with the billing issues that you are facing. Medical bill advocates can help you if you have a bill that seems outrageously wrong, if you have tried to negotiate a bill and failed on your own, or your insurance is denying a claim that seems like it should be covered.
#1 Outrageously Wrong Bill
Sometimes you get a bill that is so outrageous with the costs that you know it is wrong. However, wading through each line of the bill and proving what is wrong can be complicated. A medical bill advocate can go through your bill and find duplicate charges that appear on your bill. They can also identify easy-to-make typos that could have led to a wrong charge on your bill, as well as identify procedures and tests that were cancelled or not performed but appear on your bill. When a bill seems outrageous, there is probably a reason why, and a medical bill advocate can figure out what is going on with your bill and help you fix errors with the bill.
#2 Failed Negotiations
Negotiating fees and charges on a medical bill on your own can be difficult to do. You may not ask the right people or ask in the right way in order to get relief from your bill. A medical bill advocate can often step in and help you negotiate with a medical provider. As this is their profession, a medical bill advocate may know who to talk to about your medical bill. They will know what elements of your bill to try to negotiate with and what elements of your bill to leave as-is. They will know the right questions to ask to get even the toughest medical providers to work with you on your medical bills.
#3 Denied Claim
Sometimes the issue is not the medical providers who are charging you for your care; the issue is with your insurance provider. If you had a procedure that you thought was going to be approved, and it ends up getting denied, a medical bill advocate can help you get your claim approved. Oftentimes, claims get denied for really simple issues, such as the wrong billing code on the bill or the doctor failing to submit evidence that your procedure was medically necessary. Not all claim denials are justified, and a medical bill advocate can help you determine if your claim denial was justified and, if not, help you get your claim approved by your insurance provider.
Medical bill advocates are there to help you out when your claim gets denied, your bill is just too high, or you need help negotiating a payment plan. Medical bill advocates understand the ins and outs of medical codes and medical billing, and can use their expertise to help you out. To learn more, talk to companies like Medgotiate.