advocacy

advocacy

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 ...

Advocacy in Action | Help with Short Term Disability Benefits

HR reached out because they had a pregnant member who was being denied her short term disability. Miranda was a new hire whose new hire benefits and open enrollment ran very close together. Miranda did not elect her coverage during her new hire period and instead elected during open enrollment. ...

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 | 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 | Requiring Proof for Denied Claims

A member contacted her Patient Advocate for help with 4 bills being denied by the insurance carrier as not covered under the plan. The Patient Advocate reviewed the bills and plan details and then contacted the insurance carrier to find out why they were denying coverage. The carrier told the ...

Advocacy in Action | Hospital Delivery 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 | 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 | Recovering Claims Sent to Collections

A member had a preventative colonoscopy. All of his claims processed as preventative at 100% with the exception of the lab charges. The lab sent the member a bill for $730. The member contacted Purple Card for help. Our Patient Advocate reviewed the claims and then contacted the lab to make ...

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 ...

Brinson Benefits