AboutTricia Expertise Has your medical insurance company denied your claim and refuses to pay? Have
you received a pre-authorization and still your insurance company
refuses to pay? How can you get your insurance company to reverse a
denied claim? How do you get a provider to waive your copayment if you
are financially unable to pay? Can a provider sue you for a unpaid bill and
will they? Can a provider send me to a collection agency for a medical bill?
If my insurance company does not pay, am I responsible? If you have these questions or others on why your insurance company is not paying your bills, I can help. I can give you "tricks of the trade" to get your insurance company to pay.
I have limited knowledge on Medicare and Medicaid and that is not my expertise. Each state is very different regarding Medicare and Medicaid so you need to review their website when you have questions. So please no Medicare or Medicaid questions!!
Experience In the medical field for over 20 years spending majority of time in the collections aspect.
Question Since 2002 I have had medicare pay for blood tests to check for liver problems and they have paid them I am taking Crestor and Actos. Starting in 2008 Medicare has stopped paying for these lipid testsand the lab has tried to resubmit them only to have them rejected again and again. I now fiond my self faced with hundreds od dollars of charges for my wife and I that used to be paid by medicare. What happened?
Thanks
David
Answer Hi David!
Medicare guidelines and rules change each year.......however find out why they were rejected the claims since sometimes it is something simple they may need to pay. Find the exact denial before you pay anything to see if you can resubmit the bills with the information they may need.
