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 immediately contact the providers so they would have the new correct plan information and could verify eligibility and benefits. The Patient Advocate contacted and provided each of the provider’s offices with the new eligibility and benefit information needed to treat the member. The member was then able to pay the correct copay amount. Plus, the out-patient facility even agreed to require no up front payment from the member and to file the claim with the carrier first and wait until the carrier processed and paid the claim before billing the member for the patient responsibility amount. This is what the member had to say about the services received from The Purple Card®:
“Thank you for your help today. Everything worked out well”.
At Brinson Benefits, we care about the patient’s best interest. We believe the patient should have an available healthcare navigator and advocate. Our Patient Advocates at The Purple Card® are highly trained to educate members about available benefit programs. They work hard to resolve issues with providers and insurers.
The Purple Card® is an independent health care advocacy and assistance service. Our Patient Advocates provide time and cost-saving services to resolve concerns about benefit programs. We not only assist our members, we educate them on ways to maximize health care coverage and other available benefit programs.
