advocacy
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 ...
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 ...
February 16, 2023
Advocacy in Action | Hospital Bill Assistance
A member was hospitalized and received a provider bill for medical supplies totaling $3,137.75 and an explanation of benefits from the insurance carrier showing a member responsibility of $64,398.00 for the hospital bill. The member knew he had already satisfied the plan’s $1,500 in-network ...
January 18, 2023
Advocacy in Action | Reprocessed Claims Assistance
A member contacted Purple Card because she had received another bill from her medical provider for charges dating back to a year prior. The member sent a copy of the bill and asked her Patient Advocate to check and see why the provider was still sending her a bill. The Patient Advocate checked ...
October 23, 2022
Advocacy in Action | Collections Correction
Imagine, it’s the holiday season, you’re having a regular day and going about your business like normal. You check your mail and instead of opening Christmas cards, you find yourself opening a collection notice saying you owe almost $5,700 but they are willing to settle for less. This is the ...
