MONROE, N.Y.--(BUSINESS WIRE)--When the healthcare system becomes an overwhelming maze, consumers often find themselves buried under piles of paperwork and a bureaucracy that works against them rather than for them. Consumers end up leaving money on the table that they just didn’t have the patience or strength to claim. Financial planners and attorneys sometimes need a third party who specializes in retrieving healthcare settlements to help clients protect their estates and avoid bankruptcy filings.
Adria Gross, FIPC, founder and president of MedWise Insurance Advocacy, recently won two cases for clients who were fighting insurmountable bills and systemic red tape.
In one case, a woman was suffering from Stage Four cancer. After four years of treatment, near the end of her life, her insurance would no longer cover anything performed by her medical team. She was too sick to research new policies. Finding a new team and hospital was hopeless and worrisome. Then she found MedWise.
Though she had passed away three weeks earlier, MedWise continued her fight and secured a nearly $1 million settlement, paying every bill in full.
In another case, an Ohio resident was told her out-of-state back surgery bills would be covered. Then her healthcare providers made additional charges the insurance carrier initially balked at paying. After strategic negotiation, MedWise secured zero balance for the patient, something she could not have accomplished without a third-party advocating for her.
“It’s unfortunate that the most vulnerable among us are the ones who have to fight the hardest for the healthcare they need. These two cases demonstrate the importance of never giving up and having a team that can fight for you,” Gross said.
About Adria Gross
Adria Gross is a New York State-licensed insurance broker and consultant, and certified medical billing, coding and claims consultant. Gross uncovers discrepancies in diagnostic or procedure coding and finds loopholes through which insurance companies attempt to deny claims. For more information, visit http://medicalinsuranceadvocacy.com, (http://www.adriagross.com), follow her on Twitter (@MedWiseInsAdvoc) or on Facebook (https://www.facebook.com/MedWiseInsuranceAdvocacy).