It’s your choice. However it’s important to know that we’ve probably handled the same kind of denial you have now and got it overturned. So choose wisely.
Examples of the types of cases we work on include:
PRE-SERVICE CLAIMS DENIALS
You have this kind of denial if your insurance plan requires pre-authorization for surgery and when the request was submitted by the doctor the answer came back “No”. As a result you cannot have surgery unless that “no” becomes a “yes.”
POST-SERVICE CLAIMS DENIALS
You have this kind of denial if your insurance plan refuses to pay any of the claims after surgery took place. You, your doctor, the hospital (or surgery center) and all the other providers thought surgery was pre-authorized and expect the insurance plan to reimburse them. When the insurer says “no,” the providers look to YOU as the patient to pay their bills.
REIMBURSEMENT FOR CASH-PAY
If you paid cash for surgery because your insurer denied authorization there are many times when some or all of that money can be recovered and we help patients do just that.