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 and found out the home health service provider failed to obtain a pre-authorization for services. When the insurance company did not pay the claim, the home health service provider billed the member for the services. The Patient Advocate worked with the provider’s billing office and furnished them copies of the explanation of benefits showing them to be an in-network service provider and that the member had no responsibility for the charges. The provider reviewed the member’s account and adjusted the account balance to zero. The member was very grateful and this is what he had to say about the services he received from The Purple Card®:
“Thank you so much! I’m now going to have a really good weekend!”
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 benefits programs. We not only assist our members, but we also educate them on ways to maximize health care coverage and other available benefit programs.
