advocacy
September 22, 2026
Advocacy in Action | Large Hospital Bill Assistance
A member’s wife had incurred large hospital and treatment bills totaling over $75,000. The member wanted to make sure the claims had been processed and paid correctly by the carrier and the balance due amounts being billed by the service providers were valid and should be paid. The member knew ...
August 25, 2026
Advocacy in Action | Unexpected Bill
A member received a bill from the lab for $2,152.89. The member did not understand why he was receiving the bill and mentioned the issue to his co-worker. His co-worker mentioned her Patient Advocate had helped her resolve a similar issue. The member called his Patient Advocate about the lab ...
July 23, 2026
Advocacy in Action | Prescription Appeal Assistance
A member was having a problem filling a brand name prescription medication she had been taking for the last 4 years. A formulary pharmacy benefit change had been made to the insurance plan and the cost of the brand name prescription medication had risen several hundred dollars. Because of the ...
June 18, 2026
Advocacy in Action | Auditing Claims and Facilitating Refunds
A member contacted his Patient Advocate to request an audit of his eye surgery claims. He felt he might have paid the doctors too much. The Patient Advocate reviewed the bills and EOB’s and discovered that the member had definitely overpaid the surgeon by over $800. The Patient Advocate ...
May 21, 2026
Advocacy in Action | In Network Status for Inpatient Treatment
Imagine, your child is having severe mental health issues. You can’t help so you have to send them to an inpatient facility to get the help that they need and deserve. Then, the facility claims to be out of network. Claims are being denied and the facility tries to bill you thousands of dollars ...
April 23, 2026
Advocacy in Action | Preventative vs. Diagnostic Claims
A member contacted her Patient Advocate to find out why she was being billed $753.00 for her routine preventative colonoscopy. This was the first time she had ever had a colonoscopy and her doctor told her it was a preventative test. She told her Patient Advocate she had just lost her mother ...
March 26, 2026
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 with ...
February 24, 2026
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 ...
January 27, 2026
Advocacy in Action | New Coverage Call Ahead Assistance
A member’s medical coverage was being changed from one plan to another and the carrier’s system was not yet updated to reflect the new benefits or eligibility information. The member had several scheduled appointments for tests and procedures and needed the help of their Patient Advocate to ...
December 15, 2025
Advocacy in Action | Accident Claims
While out of state on a vacation, a member had a collision with a tree while skiing…all at about 30 mph! Thankfully, he survived but not without major damage to various body systems. He was flown to the closest trauma center, had multiple surgeries and afterwards, had intense therapy. In total, ...
