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 have ddd with mass nerve impingement at l5 s1 vert.in april of 09 my surgeon and i decide that fusion surgery was needed to fix problem,well anthem blue cross blue shield is refusing to pay for surgery due to my "young" age of 37......would it be worth for me to get a lawyer an try to fight this????i have had 3 appeals,1 second oppinion,and diagnosis change for the worse proven by mri.please help me as i cant work,play with my children or do my manly duties from this issue i am dealing with.
Answer Hi Jay!
Usually insurance companies have to pay for procedures that are deemed medically necessary.....so if you proved that then you may need to get an attorney to help you fight them. If you have done all your appeals then this is probably your last resort.
