Got a Medical Bill Months (or a Year) Later? Timely Filing Rules and When You Don’t Have to Pay
A late medical bill isn’t automatically wrong, but don’t pay it until you’ve checked one thing: did the provider bill your insurance…
Medical Billing 101 – Free Denial Code, CPT & RCM Guides
ER Visit Denied by Insurance as “Not an Emergency”? The Prudent Layperson Rule and How to Appeal
Did your insurer deny an ER visit because the final diagnosis turned out to be minor? You have strong grounds to appeal.…
Medical Bill Sent to Collections? How to Dispute It and Protect Your Credit
Act fast, and work on two fronts. First, send the collection agency a written dispute within 30 days of its first notice.…
Out-of-Network Anesthesiologist at an In-Network Hospital? Your No Surprises Act Rights
Say your hospital or surgery center was in network, but the anesthesiologist, radiologist, pathologist or lab wasn’t. The federal No Surprises Act…
Prior Authorization Denied? What to Do Next (MRI, Surgery or Medication)
When prior authorization is denied, don’t cancel your care yet. First, get the denial reason and reference number from your doctor’s office.…
How to Read an Explanation of Benefits (and What to Do When Your Bill Doesn’t Match)
An Explanation of Benefits (EOB) is your insurer’s receipt for a claim. It is not a bill. To read one, find four…
Claim Denied as “Not Medically Necessary”? How to Appeal and Get an External Review
You can fight a “not medically necessary” denial, and you have more time and more rights than most people think. Ask your…
Charged for Your “Free” Annual Physical or Screening Colonoscopy? Here’s Why, and How to Fix It
Most private health plans must cover recommended preventive care with no cost sharing when you use an in-network provider. That includes a…
Zepbound or Wegovy Denied by Insurance? Exclusion vs Formulary vs Prior Auth, and What to Do
First, find out which kind of denial you have, because each needs a different fix. If your plan excludes weight-loss drugs, an…
Claim Denied for Coordination of Benefits? The Quick Update That Unfreezes Your Claims
A coordination of benefits (COB) denial usually means your insurer thinks another plan might pay first, or it’s waiting for you to…