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 I am a 26 year old female. I have had my tubes tied, and endometrial ablasion. But have still be severely bleeding for over a year. I have had tons of test and my doctor has found no reason for my bleeding. I have tried all medications. And my last resort is a partial hysterectomy and I will also have my bladder tacted up at the same time. I have had a urdynamics test to prove my stress incontinence. I am currently waiting on approval from medicaid, because I am under 30. I was wondering if you think my chances are good or bad for getting approved for these much needed surgeries and if i am denied what can I do. Thanks for your time.
Answer Hi Clatei!
It is hard to say...Medicaid will review all the medical information and determine if they feel it is needed and if it falls within their guidelines.
If they do deny it then you can usually appeal. You will need to prove that the denial is not correct. If you receive a denial it will tell you how to appeal and how long you have to do so.
