advocacy

advocacy

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 ...

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 | 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 | 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 | 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 ...

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 | 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 ...

Advocacy in Action | Investigation of Balance Bill

A member contacted Purple Card for assistance. He had received bills from a service provider totaling $5,712 for medical services. He was concerned the claim had not been processed correctly by the insurance carrier and wanted to know if he truly owed over $5,000. The Patient advocate went to ...

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 ...

Brinson Benefits