MedWise Insurance Advocacy is a premier medical insurance advocacy firm, owned and managed by Adria Gross, a New York State-licensed insurance broker and consultant with over 25 years experience in the medical claims health insurance industry. While sometimes their specific situation calls for a lawyer, oftentimes they may be better served by working with a medical billing advocate to lower their bills. Provides advocacy and consulting services to legal professionals and individuals throughout the U.S., including the quad-state area comprising the New York metropolitan area (New York, New Jersey, Connecticut) and Pennsylvania. Medicaid Services. Avoid the frustration and upset of trying to understand those medical codes and bills on your own. They can and will use the court system to maximize your benefit. MedWise Insurance Advocacy provides medical billing and consulting services to Legal and Medical professionals, as well as individuals throughout the NY, NJ , CT, Tri-State area. The program provides health care coverage to beneficiaries who are more likely to suffer from the coronavirus. If your State doesn’t have a CAP, the map will direct you to other possible resources – such as the State Department of Insurance and the US Department of Labor – including phone numbers, email addresses, direct mailing addresses, and websites. Medical billing advocates will look at the following 4 areas to help lower your medical bills: Billing Errors: reviewing medical bills for correctness. Anyone can represent themselves as such (that doesn’t mean that there aren’t very good advocates out there). When you retain our services, you can count on our expertise and professionalism to meet your needs regarding medical insurance and medical claims—from recouping previously denied coverage and reimbursements to tracking benefits statements and medical bills to forensic work on medical claims. Medical Billing Advocates. The map below will help you find the contact information for your State’s CAP. Note that there is a significant amount of overlap between personal injury and medical malpractice lawyers. Healthcare Enrollment Dates, Fees and a Delicate Dance for Coverage, Surprise Medical Bills and Balance Billing or Just Billed. Choose Medwise - The wise choice for all of your medical claims needs! We provide timely information on Medicare and long-term care, and conduct state and national policy advocacy for increased consumer rights and protections. Investigates medical bills and liens, supporting patients, individuals, elder law and personal injury attorneys to ascertain and evaluate Medicare, Medicaid, and private insurance medical claims and bills. : Many medical device manufacturers and pharmaceutical companies will offer rebates directly to patients for devices used. Is a health insurance consumer advocate and consultant for insured individuals, helping them obtain the money they deserve. Bankruptcy Lawyer: These attorneys can explore and discuss your options, rights, and protections around bankruptcy. They’ll find these errors and then fight with the medical provider to have them correct so you’re not paying for anything you shouldn’t be. : If your insurance company has denied your claim, an Advocate can walk through the multi-step appeals process – gathering and presenting the right evidence in the right way to increase the chances of success (and helping you to avoid a paperwork filled headache in the process). Unfortunately medical bill negotiation lawyers generally don’t exist – the type of lawyer that may work for you depends on your given situation. : These attorneys can explore and discuss your options, rights, and protections around bankruptcy. Many states offer help to consumers with health insurance problems through Consumer Assistance Programs* (CAPs). Many states offer help to consumers with health insurance problems through Consumer Assistance Programs* (CAPs). *These programs received funding through Section 1002 of the Affordable Care Act. SMP Empowering Seniors. This can range from charging for services not provided, upcoding, or unbundling to pushing back against. – hospital chargemaster pricing (the rack rate charged to uninsured patients) are absurd and completely disassociated with reality. Through a federal grant, many States have established CAPs in order to better assist consumers experiencing problems with their health insurance or seeking to learn about health coverage options. State CAPs offer direct assistance by phone, direct mail, email, or walk-in locations to help consumers learn how to obtain or use their insurance effectively. They should be willing to spend 15-20 minutes talking through your case and give advice on the best path forward. Most hospitals also have financial aid policies to help people on lower incomes (and sometimes with larger bills). Note that there is no required education to becoming a medical billing advocate. They’ll find these errors and then fight with the medical provider to have them correct so you’re not paying for anything you shouldn’t be. Consumer Protections Attorney: If you have court judgements or liens related to an outstanding debt or feel like you’re being harassed by a debt collector – reach out to a Consumer Protections Attorney. Consumer advocates are calling for improved access to Medicare. ), How To Deal With COVID-19 Related Medical Bills, COVID-19: An Update for Current Patients and Website Visitors. Prior to Resolve, he built and ran Operations for a renewable energy company and then built and ran Product, Growth, and Operations for a VC-funded edtech company. In general, we recommend consumer protections attorneys as a natural first step to understanding what can be done about outstanding medical bills. We have many satisfied clients in the New York Metropolitan area, including all of New York City, Suffolk County NY, Nassau County NY, Westchester County NY, Rockland County NY, Orange County NY, Ulster County NY, Putnam County NY and Dutchess County NY, Pike County PA, Bergen County NJ, Passaic County NJ, Hudson County NJ, Essex County NJ, Morris County NJ, Fairfield County CT. “Woman of Achievement” Award by WCBS Newsradio 880, Click the above logo to be taken to an interview of Adria Gross by CBS news. Broadly speaking a lawyer is an expert on the legal system – they understand the laws of the US, state,and locality they practice in (and sometimes other locations). They may also be able to identify when a hospital adjusting the codes used could get a claim overturned without having to file an appeal.

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