Patient Advocacy LTD works on behalf of healthcare providers and patients to resolve medical insurance issues promptly, to the satisfaction of all parties, and with success ratios above industry averages.
Have thousands of dollars aging on insurance claims or self-pay and think you’re out of options?
WE DON'T LET INSURANCE CARRIERS GET AWAY WITH:
~ Invalid refund requests
~ False claim denials
~ Processing claims out of network
~ Failing to abide by your contract
~ Breaching state or federal payment timelines
YOUR COSTLY UNRESOLVED CLAIMS
PROBLEM — Claim denials, disputes, stalls, and logjams, tie up manpower, raise costs, and damage goodwill and your bottom line. The path of least resistance is to settle for less. Or nothing. You receive a “denial of benefits,” and the claim is dropped to patient responsibility, i.e., SP (self-pay). These denials may be accurate or they may be misleading or false. While most states require insurers explain denials, in practice this is rarely honored. (And when claims are dropped to SP and turned over to an outside agency, the fees are higher than when the claim is classified as an insurance account.)
PATIENT ADVOCACY CAN HELP
WHAT WE DO — Patient Advocacy is an intermediary between you (and your patients) and health insurance companies and other third-party insurers. We help settle and collect claims that may be in stall status, disputed, discounted, or denied altogether.
WHO WE ARE — Our company was launched by professionals with deep experience in the healthcare and insurance industries as well as the legal world. We understand the business side of healthcare, and we’ve developed effective ways to improve your collections percentages and totals.
BOTTOM-LINE BENEFITS — While the immediate benefit we offer is (1) improving your cash flow by taking aging receivables off your books, we also (2) add value in the form of goodwill by mediating on your behalf with insurers for a fair outcome for all parties. And by (3) taking on the time-consuming responsibilities for resolution and collection, Patient Advocacy frees up your staff to focus on other duties.