advocacy

Advocacy in Action | Prescription Drug Claims

A member’s husband was taking 4 different prescriptions on medications each month. The upfront cost seemed to be much more than the member felt they should pay under their insurance plan. The member contacted Purple Card for assistance and asked them to check into what was going on with the ...

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 ...

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 ...

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 | Lab Work Claims

Our Patient Advocates are serious about service. As an independent resource, they are available to our members to help them resolve any concerns about their benefit program.  They can assist with concerns about claims, patient referrals, balance bills, enrollment delays, or any benefits issue. ...

Advocacy in Action | Scheduling Assistance

Our Patient Advocates are serious about service. As an independent resource, they are available to our members to help them resolve any concerns about their benefits program.  They can assist with concerns about claims, patient referrals, balance bills, enrollment delays, or any benefits issue. ...

Advocacy in Action | Negotiating Unexpected Claims

Provider Balance Bill Our Patient Advocates are serious about service. As an independent resource, they are available to our members to help them resolve any concerns about their benefits program. They can assist with concerns about claims, patient referrals, balance bills, enrollment delays, ...

Advocacy in Action | Auditing Claims and Facilitating Refunds

A member contacted her Patient Advocate, Janel, to request an audit of her eye surgery claims. She felt she might have paid the doctors too much. Janel reviewed the bills and EOB’s and discovered that the member had definitely overpaid the surgeon by over $800. Janel contacted the provider’s ...

Advocacy in Action | Claims Investigation

A member contacted her Patient Advocate to request an audit of delivery bills for her newborn baby. The PA 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 $3,125.00 on ...

Advocacy in Action | Unexpected Bill

A member received a bill from the lab for $2,152.89. The member did not understand why she was receiving the bill and mentioned the issue to her co-worker. Her co-worker mentioned her Patient Advocate had helped her resolve a similar issue. The member called her Patient Advocate about the lab ...