advocacy

advocacy

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...

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 ...

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 ...

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 ...

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 ...

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... ...

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 ...

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 ...

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 ...

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 ...

Brinson Benefits