We work directly with employees and their families whenever there is a question about a claim. Whether it’s a denial or just a high price, we can ensure claims are processed appropriately and negotiate costs downward at every opportunity.
Ever seen the pile of incomprehensible bills after the exciting delivery of a new born baby? Or after a major surgery? There are enough headaches without trying to figure out if everything was processed appropriately. We do this to ensure employees can focus on their health (or their child’s) while we comb through the details for accuracy.
We have helped hundreds of employees find creative ways to pay for unexpected medical expenses not covered by their health plan. The most common? We’ve helped initiate over a hundred 0% interest payment plans to help employees manage the impact of a high deductible or other expense.
Some of our greatest achievements have been helping our members access care that was not originally approved by the insurance carrier. Imagine your doctor says you need a cutting-edge surgery that isn’t approved by the insurance company. Then, imagine we are able to get them to change their minds with a well-crafted letter and research showing it’s the best treatment for your condition. It’s these miracles that make us excited about our work.
Need a new dentist? Doctor saying you need to see a specialist? We can make sure the providers you’re choosing from will be in network and that you’ll receive the highest benefit level available to you. Just let us know what kind of provider you need to see and where.
The cost of care is almost always expensive and seems to keep getting more expensive. We have the ability to help determine how much a course of treatment will cost with a given provider and insurance company. This can make seeking care more approachable and less scary for employees. It also helps them make smarter, better-informed decisions on how to direct their care. It’s rare for this decision to happen between doctors and patients even today, so we bridge the gap.
Many employees are unaware of the many ways to save themselves a lot of money on prescription medication. While we certainly don’t prescribe medications, we can give employees information on cheaper alternative drugs to explore with their doctor or even just information on how to acquire their prescriptions through mail order to capture cost savings without even changing their medication. It’s all about information.
We really did design our business to help your employees through the health care finance maze. We want to be their point person for dealing with all of their benefits and any questions that may come up. From simple questions to complex analysis and problem resolution, we’re here for them.
Wow, you just never know what’s going to come up next in the insurance world. No matter what it is or how far the problem has escalated, you’ll be glad we’re here to help!Read More