advocacy

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 ...

Advocacy in Action | Resolving Denied Claims

One member reached out to The Purple Card with an issue about her MRI. It was denied and she was potentially liable for over $6,500. Her Patient Advocate started working her purple magic! After reaching out to the doctor and the insurance company multiple times, the appeal was approved and the ...

Advocacy in Action | HR Relief

The Purple Card recently received an email from a Human Resource Director. She was so excited about the feedback that she was getting from her employees. Employee benefits are one thing she does not have to worry about! Because of The Purple Card, she won’t have to worry about employees going ...

Advocacy in Action | Negotiating Unexpected Claims

A member contacted The Purple Card® stating that she had just received a $621 balance bill from a provider‘s office for anesthesiology services. The member was unhappy because she had gone to an in-network doctor for the surgery and the member believed everything related to the surgery would be ...

Advocacy in Action | Member Cost Liability

A member reached out to the Purple Card because of a notice that she had received from her insurance company. It looked like they had shipped her $1,000+ medication and she had yet to provide authorization. Just as any person would be, she was concerned about being liable for the cost of the ...

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 ...

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 ...