advocacy
June 20, 2024
Advocacy in Action | Labor and Delivery Bills
A member contacted her Patient Advocate to request an audit of delivery bills for her newborn baby. The Patient Advocate reviewed the EOB’s and discovered that the insurance carrier had over-applied her deductible. It appeared that the member had met her deductible and out of pocket expenses of ...
April 11, 2024
Advocacy in Action | Deductible Credit Assistance
Tara’s work just got a new insurance carrier and what she had accumulated from her old plan had not transferred over to her new plan (deductible credit). Tara had some upcoming medical needs and wanted to make sure that she paid the least amount possible for it. Additionally, there were also ...
March 26, 2024
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... ...
February 22, 2024
Advocacy in Action | Recovering Claims Denied as Work-Related
After being injured in a hunting accident, a member began to receive outstanding invoices for over $88,000 in unpaid claims. The Member reached out to The Purple Card to inquire why these claims were not paid, stating that they should have met their deductible. At first the claims were pending ...
January 11, 2024
Advocacy in Action | Home Health Services
A member was being billed over $4,000 for home health services. The member was very upset as he did not have money to pay the charges. He called The Purple Card® to see what they could do to help. The Patient Advocate contacted the home health service provider and the carrier’s claim department ...
December 15, 2023
Advocacy in Action | Updating Insurance Cards and Recovering Claims
A member called into Purple Card because she had received a bill for $4,138.75. She believed she did not owe this amount to the facility because her insurance plan should have paid some if not all of the amount. The Patient Advocate reviewed the bill and contacted the provider’s billing office ...
November 16, 2023
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 ...
October 19, 2023
Advocacy in Action | HRA Reimbursement
A member desperately needed surgery and was very concerned because the surgical center was requesting a $2,000 upfront payment. The member had no idea how he was going to come up with the money on such short notice. He called The Purple Card® for help. The member’s insurance plan had a $5,000 ...
September 14, 2023
Advocacy in Action | Assistance with Anesthesia 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 ...
August 17, 2023
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 ...
