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How We Help

Services we offer include the following:

For Individuals

  • Organize your insurance statements
  • Confirm your insurance is paying according to your policy
  • Determine who you should pay and how much
  • Resubmit claims when necessary
  • Pursue denials and appeal denied claims
  • Resolve issues with insurance benefits and coverage
  • Oversee entire claims cycle and intervene as needed
  • Track claims and reimbursement
  • Address PPO/HMO network issues
  • Act as your liaison for both your medical providers and your insurer
  • Thoroughly review your medical bills – request medical records if
        necessary for verification
  • Mediate patient-physician conflicts
  • Work with MDs, DDSs, pharmacies
  • Negotiate discounts or payment plans
  • Resolve billing issues and obtain refunds
  • Work with collection agencies
  • Explain COBRA, HIPAA, ERISA
  • Coordinate multiple health plans
  • Address Medicare benefits and issues
  • Address quality of care issues and act as your advocate

We save you valuable time and money and simplify your life!

For Trust Officers, Attorneys, and Family Offices

  • Address quality of care issues and act as your advocate
  • Provide consistent oversight for your clients’ medical bills, including
        claims issues and appeals
  • Relieve you of burdensome medical billing issues


For Medical Providers

  • Work with insurers to confirm you are paid properly
  • Provide explanations and instructions to your patients about the
        amounts they owe your office
  • Follow-up on un-paid claims with primary insurers and submit claims to     secondary insurers

 
 
©2007 Health Claims Resolutions, LLC   Call Us: (760) 479-0420