advocacy

Advocacy in Action | Benefit Program Education

Ingrid needed help. Her child needed to be evaluated by a neuropsychologist. Ingrid did not fully understand her benefits and was looking at using an out of network provider—oh no! After her conversation with a patient advocate, she understood the benefit (insurance and financial) of using an ...

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 so they contacted their Patient Advocate for assistance. The Patient Advocate went to work to see how she could help. When checking the insurance plan and benefits, the Patient Advocate learned the ...

Advocacy in Action | Billing Corrections

Juan had gone in for an echocardiogram. Almost everything turned out fine…everything but the billing! Juan was not expecting to get a bill that was over $2,500! He contacted his dedicated Patient Advocate and they got on the case. In the end, all that Juan owed was less than the cost of getting ...

Behavioral Health in the Workplace

Mental Health Awareness Month is officially observed in May and is especially relevant this year as everyone is continuing to deal with the impact of the pandemic. New research on Behavioral Health Issues in the Workplace was published by The Standard and recently presented in a webinar by Dr. ...

Advocacy in Action | Anesthesia Bill Assistance

A member contacted The Purple Card® because she received an anesthesia bill showing she was being balanced billed for $900. The member sent a copy of the bill to her Patient Advocate because she wanted to understand why the provider was sending her a bill. The procedure had been pre-authorized ...

Advocacy in Action | Resolving Unexpected Bills

Maria got a bill that was not expected…over $300 not expected! She checked her accounts and could not find anything showing that her insurance processed that service. To make matters worse, the provider notified her that her coverage had terminated! The Purple Card to the rescue! Her ...

Advocacy in Action | Solving Billing Errors

A member was being billed for various dates of service and she knew that it was not right so she reached out to her Patient Advocate. Her advocate started reaching out to the carrier and facility and was able to get her member responsibility down to $0! See what this member had to say:  All... ...

Advocacy in Action | Dentist Billing Refund

A member knew that something wasn’t right with how her dentist was billing. She thought she was due a refund but her provider would not give it to her and she needed help…Purple Card help! Her patient advocate reviewed her bills, her explanation of benefits and stayed in communication with her ...

Advocacy in Action | Resolving Enrollment Issues

One member was in a bind. He had an enrollment issue and was not showing active with insurance. To add to the situation, he needed an ID card and a list of COVID-19 testing sites. He contacted The Purple card and in just over an hour, he had active coverage, an ID card and a...

Scam Alert | Beware of PreTexting

Earlier this afternoon, two Purple Card clients independently reported that a team member of theirs received a fraudulent phone call. The callers represented themselves to be with a company contracted by the health plan for their prescription benefits and made it sound as if they already knew ...