Tuesday, June 15, 2010

Who is Fighting for Your Insurance Claims?

I cam across this article on MSNBC http://bit.ly/aAiFDY.  To summarize Doctors are complaining that Claims-processing errors by health insurance companies are creating undo administrative costs.  The insurance companies on average are get getting 80% of the claims correct.  I am sure Doctors always notice when they are short changed and every so often when they are over paid.

The Doctors have the AMA (American Medical Association) fighting their battles as a group.  In the case of over payment who is fighting on your behalf. 

We have found through our research that almost no insurance broker handles what we feel is the most important part our our jobs ... claims execution!

Our procedure is that NO client is to pay a bill or claim without letting us do our job ... confirm what the correct payment should be. Our mission is to insure that our clients pay the CONTRACTED RATE only. This amounts to 25% of what the bill would be if one was not insured.

The "usual and customary" or "the contacted rate" is key to why we get insurance. If one was not insured the old saying " I went to the hospital and paid $20 for an aspirin" would apply. With insurance you would pay 20 cents, and your broker, who comes free to you would make sure of this.

We have saved our clients countless dollars as they have "side-stepped" double dipping, over charges, cash deals that would have cost them 50% more! Saving our clients money is what we do!

In summary please make sure you find a broker that handles every claim. Any broker can take an application ... it is the great broker that handles every issue for their client ... especially CLAIMS!

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