We Help People Navigate Our Complex Healthcare System
The result: Improved health outcomes and lower medical costs
Who NEEDS MEDCOST ALLY?
Did You Know?
- Over 27% of adults in the U.S. avoid medical treatment due to confusion regarding insurance coverage, medical bills, and the healthcare system.
- Errors are found in an astounding 50% of medical invoices. Those errors lead to substantial overcharges borne by the consumers.
Who Needs a Health Advocate?
A health advocate is vital for individuals:
- With complex or chronic health conditions
- Who are not familiar with the healthcare environment
- Overwhelmed with numerous medical bills
- Whose insurance claims were denied or processed incorrectly
- Who need guidance as to how their health plan works
MEDCOST ALLY SERVICES
Medical Billing Assistance
Medical Billing Assistance
Medical Billing Assistance
- Submit medical claims and invoices to client’s insurance company via website portal, facsimile, or postal mail.
- Organize and track all medical bills.
- Monitor activity on medical bills/statements and pay bills using client’s credit card if requested.
- Review medical bills and explanation of benefits (EOBs) to ensure charges are correct.
Medical Billing Auditing
Medical Billing Assistance
Medical Billing Assistance
- Identify procedure and diagnoses coding errors and correct them.
- Check if a specific procedure is covered and/or requires prior authorization or pre-certification.
- File appeals when benefits are denied. Coordinate with healthcare providers and insurance companies to obtain required documentation for appeal.
- Provide periodic reporting for monitoring of outstanding claims and annual reporting for tax purposes.
Medical Billing Negotiation
Medical Billing Negotiation
Medical Billing Negotiation
- Negotiate with out-of-network providers prior to commencement of treatment/services for possible lowering of fees (pre-negotiation).
- Negotiate with provider billing department for possible reduction of client’s final balance.
Medical Billing Advisory
Medical Billing Negotiation
Medical Billing Negotiation
- Other advisory services as reasonably requested and accepted by MedCost Ally, such as ordering, re-filling, and contacting physician for prescription medication renewals.
- Guide client through transitions during a transfer of care (e.g., from a hospital to skilled nursing facility or acute inpatient rehabilitation facility).