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Insurance denied a radiology claim based on medical necessity. We were able to provide documentation and get the claim approved and the service covered.

This client has several years' worth of mental health claims from an out of network provider that are eligible for reimbursement, as her plan has out of network coverage. I collected all of the relevant superbills from her providers, and submitted the claims through her insurance portal. Once she met her out of network deductible, she was eligible for a reimbursement of 80% of the allowed amount for each visit.

Client received a high balance bill after a hospital stay that spanned two years - he was admitted December 2024 and discharged in January 2025. Because of this, they charged him two deductibles and they were on a high deductible plan, so very little of his stay was covered. We were able to apply and receive a 75% reduction in financial assistance for his hospital stay, which the other providers billing him honored. For one bill, we negotiated a settlement for the cash price of services, essentially the uninsured rate.

This client was facing a large bill after a car accident because her medical insurance claimed that her auto insurance should be responsible, and vice-versa. I was able to work with the two payors and negotiate a settlement of the bill from her medical insurance.