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 member owed the service provider $570. After visiting with the insurance carrier’s Claim Department, the Patient Advocate was able to determine the claim had been processed incorrectly as an out-of-network claim. The insurance carrier reprocessed the claim as in-network and the amount the member owed was reduced from $570 to a $25 copay amount. This is what the member had to say about the services received from The Purple Card®:
“Thank you so much for your help in this matter!”
At Brinson Benefits, we care about the patient’s best interest. We believe the patient should have an available healthcare navigator and advocate. Our Patient Advocates at The Purple Card® are highly trained to educate members about available benefit programs. They work hard to resolve issues with providers and insurers.
The Purple Card® is an independent health care advocacy and assistance service. Our Patient Advocates provide time and cost-saving services to resolve concerns about benefit programs. We not only assist our members, we educate them on ways to maximize health care coverage and other available benefit programs.
