advocacy

Advocacy in Action | Claims Assistance

A member contacted Purple Card for assistance. He had received bills from a service provider totaling $5,712 for medical services. He was concerned the claim had not been processed correctly by the insurance carrier and wanted to know if he truly owed over $5,000. The Patient advocate went to ...

Advocacy in Action | Dental Bill Assistance

A member contacted Purple Card about a billing and refund issue she was having with a dental office.  Her husband had received dental treatment and services.  At the time of the visit, the dental provider asked him to pay $433 for the services.  The dental office filed the claim with the dental ...

Advocacy in Action | Specialty Pharmacy Prescription Drug

A member’s daughter has a chronic illness and needed help obtaining a special prescription drug to treat the condition. The child had been taking another prescription drug but had experienced an adverse reaction causing the child to be hospitalized. The member needed the daughter’s new ...

Advocacy in Action | Health Reimbursement Arrangement (HRA) Education

A member contacted Purple Card upset about a large amount of out-of-pocket money he owed the service provider for his emergency room visit.  His Patient Advocate listened to the member and then reviewed the member’s emergency room claims and his coverage.  She saw the member had selected a high ...

Pharmacy Fraud Alert: Don’t Fall for Inflated Prescription Costs

Take a minute to put yourself in the shoes of Dave Jensen. According to NBC News, the 46-year-old firefighter went to his pharmacy to fill a prescription for antibiotics, paying more than $70 through his health insurance – only to realize later that he’d paid twice as much as he would ...

Advocacy in Action | Assistance with Anesthesia Balance Bill

A member’s daughter had a history of seizures and her pediatric neurologist recommended an MRI be completed.  Due to the child’s young age, sedation was required to perform the testing.  The MRI testing was arranged and scheduled at an In-Network hospital.  The testing was performed by ...

Advocacy in Action | Claims Assistance with Emergency Room Bills

A member received two bills from an emergency room service provider totaling $844.  One bill was for the emergency room facility charges and the other was for the emergency room physician.  The member did not know what to do and contacted Purple Card for assistance.  Her Patient Advocate ...

Advocacy in Action | Assistance with Special Neurological Testing

A member contacted Purple Card because his son’s neurologist ordered a special neurological test and the insurance carrier had been delaying approval for over six months.  The member was at his wit’s end and contacted Purple Card to see if they could help.  The Patient Advocate visited ...

Advocacy in Action | Help Understanding Coverage

A member’s wife was having a baby.  She had already had several prenatal visits, and the member was calling to see if a birthing center they planned to use would be covered under their medical insurance plan.  The member also had questions about a supplemental medical gap plan (medical gap ...

Advocacy in Action| Ambulance Bill Audit and Recovery

An ambulance company balance billed the member for $1,787.87.  The member did not understand why.  She took the bill and went to visit with her Director of Human Resources.  Together they contacted their Patient Advocate for assistance.   The Patient Advocate went to work to see how she could ...