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 5 foot 6 I weigh 340 pounds I have been diagnosed with sleep apnea and I am hypertensive. Will Caresource approve my request to help pay for lapband surgery. I have issues walking more than a short distance, I have pain in my joints and I really need to get this weight off. So I really need to know my options.
Answer Hi Marilyn:
Many insurance carriers do now pay for some type of weight surgery but all have specific guidelines.
Since each policy is different you need to call them and ask them what their requirements are.
Only way to know 100%.
