advocacy
January 23, 2025
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 ...
December 24, 2024
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 ...
October 22, 2024
Advocacy in Action | Resolving Enrollment Issues
One member was in a bind. He had an enrollment issue and was not showing active with insurance. To add to the situation, he needed an ID card and a list of COVID-19 testing sites. He contacted The Purple card and in just over an hour, he had active coverage, an ID card and a...
September 12, 2024
Advocacy in Action | Resolving Unexpected Bills
Maria got a bill that was not expected…over $300 not expected! She checked her accounts and could not find anything showing that her insurance processed that service. To make matters worse, the provider notified her that her coverage had terminated! The Purple Card to the rescue! Her ...
August 22, 2024
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 ...
June 20, 2024
Advocacy in Action | Labor and Delivery Bills
A member contacted her Patient Advocate to request an audit of delivery bills for her newborn baby. The Patient Advocate 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 ...
April 11, 2024
Advocacy in Action | Deductible Credit Assistance
Tara’s work just got a new insurance carrier and what she had accumulated from her old plan had not transferred over to her new plan (deductible credit). Tara had some upcoming medical needs and wanted to make sure that she paid the least amount possible for it. Additionally, there were also ...
March 26, 2024
Advocacy in Action | Solving Billing Errors
A member was being billed for various dates of service and she knew that it was not right so she reached out to her Patient Advocate. Her advocate started reaching out to the carrier and facility and was able to get her member responsibility down to $0! See what this member had to say: All... ...
February 22, 2024
Advocacy in Action | Recovering Claims Denied as Work-Related
After being injured in a hunting accident, a member began to receive outstanding invoices for over $88,000 in unpaid claims. The Member reached out to The Purple Card to inquire why these claims were not paid, stating that they should have met their deductible. At first the claims were pending ...
January 11, 2024
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 ...
