Blog categorized as Healthcare Navigation
A healthcare claim is a request for payment that you or your doctor submit to your health insurance company after you receive care. A claim will contain unique medical codes that have been interpreted from the healthcare providers notes during your visit. Using these codes, the insurance carrier wil...
What is Prior Authorization?
Prior Authorization is an approval from your health insurer or plan stating that a health care service, treatment plan, prescription drug or durable medical equipment is medically necessary.
As an individual on your company’s benefit plan, it may be necessary for you...
If a possible unknown medical bill in the mail from your healthcare visit stirs up more fear in you than the effects of untreated injury and illness, this article is for you. The Healthcare Price Transparency Rule, effective January 1, 2021, brings patients closer to knowing what care will...
Typical service transactions are straight forward. When you walk into your frequented barber shop or hair salon, you should have a pretty good idea of what the bill will be when the service is complete. You will receive the service and pay the bill before heading out the door. All done! This familia...
Healthcare is often an unpredictable landscape. Whether you're dealing with a persistent cough or facing an emergency, understanding your healthcare options is crucial. Knowing where to go and when cannot only save you money but can also ensure you get the most appropriate care for your condition. I...
Medicaid is a jointly funded federal and state program that provides health coverage and resources to millions of eligible Americans. Those eligible include low-income individuals, families, pregnant women, the elderly, and individuals with disabilities. Each state’s Medicaid program is uniquely pac...
Retiring before 65? Hopefully finding the right health care coverage for you and your family has been at the top of mind. Roughly 90 days prior to your becoming Medicare eligible, chances are many of the health coverage options will present themselves to you in the mail. Each carefully crafted messa...