Our Services
Free Consultation
We start by listening to your story and reviewing your denied claim documentation. This includes understanding the specifics of your medical procedure, insurance policy details, and the reason for denial.
We also offer guidance and help you to gain the knowledge you need to handle your appeal, with ongoing advice as needed.
Evaluation
Our team, comprised of health insurance experts, will analyze your case. We look for discrepancies, errors, or overlooked information in the initial claim submission that could have led to the denial. If it is needed we can jump right into the appeals process.
Internal Appeal
We assist in preparing all necessary documentation for the appeal. This includes drafting appeal letters, compiling supporting evidence, and ensuring all paperwork adheres to the requirements of your insurance provider.
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Representation: We can represent you during the appeal process with proper authorization. We communicate directly with insurance companies, and your provider, advocating on your behalf to overturn the denial.
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Follow-Up: After submission, we keep track of your appeal's progress, providing updates and preparing for any further steps or a secondary appeal if necessary.
External Appeal
We don't give up. If the first level of escalation doesn't yield results, we explore further options, always aiming for a favorable outcome.With our Escalation Process service, you're not just appealing a decision with a regulatory body; you're standing up for your health, your rights, and your peace of mind. Let us help you navigate through the bureaucratic maze to ensure your voice is heard by those who can make a difference.