advocacy
December 15, 2023
Advocacy in Action | Updating Insurance Cards and Recovering Claims
A member called into Purple Card because she had received a bill for $4,138.75. She believed she did not owe this amount to the facility because her insurance plan should have paid some if not all of the amount. The Patient Advocate reviewed the bill and contacted the provider’s billing office ...
November 16, 2023
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 ...
September 14, 2023
Advocacy in Action | Assistance with Anesthesia Bill
A member’s daughter had a history of seizures and her pediatric neurologist recommended an MRI be completed. Due to the child’s young age, sedation was required to perform the testing. The MRI testing was arranged and scheduled at an In-Network hospital. The testing was performed by ...
August 17, 2023
Advocacy in Action | Help Understanding Coverage
A member’s wife was having a baby. She had already had several prenatal visits, and the member was calling to see if a birthing center they planned to use would be covered under their medical insurance plan. The member also had questions about a supplemental medical gap plan (medical gap ...
July 25, 2023
Advocacy in Action | Member Cost Liability
A member reached out to the Purple Card because of a notice that she had received from her insurance company. It looked like they had shipped her $1,000+ medication and she had yet to provide authorization. Just as any person would be, she was concerned about being liable for the cost of the ...
July 14, 2023
Advocacy in Action | Dental Bill Assistance
A member contacted Purple Card about a billing and refund issue she was having with a dental office. Her husband had received dental treatment and services. At the time of the visit, the dental provider asked him to pay $433 for the services. The dental office filed the claim with the dental ...
June 14, 2023
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 ...
May 23, 2023
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. ...
April 25, 2023
Advocacy in Action | Prescription Drug Claims
A member’s husband was taking 4 different prescription 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 ...
March 15, 2023
Advocacy in Action | Assistance Reprocessing Claims
A member called into Purple Card because he had a $570 Urgent Care bill go to collections. He did not believe he owed the amount to the Urgent Care facility. The Patient Advocate reviewed the bill and contacted the insurance carrier to determine why the claim paid the way it paid and why the ...
