advocacy

advocacy

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 | 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 ...

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 ...

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 ...

Advocacy in Action | Collections Correction

brinson-benefits-Advocacy-in-Action-Collections-Correction
Imagine, it’s the holiday season, you’re having a regular day and going about your business like normal. You check your mail and instead of opening Christmas cards, you find yourself opening a collection notice saying you owe almost $5,700 but they are willing to settle for less. This is the ...

Advocacy in Action | Dental Assistance

A member had an 8-year-old son with special needs. The member’s primary care dentist had retired and they had to select a new dentist for their family. The child required specialized dental care and the new dentist could not perform the surgery and dental work needed by the child. The child was ...

Advocacy in Action | Help with Hospital Bill

A member received a very large bill from the hospital. The hospital was asking for a payment of over $39,000. The member was very concerned and contacted The Purple Card® to seek help in determining the amount truly owed and what should be paid to the hospital. The Patient Advocate checked into ...

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 ...

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, ...

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 ...

Brinson Benefits