The Law Office of Isaac Schreibman also specializes in working directly with patients in obtaining additional information requested by a carrier prior to adjudicating a claim for services rendered.
Among the biggest challenges faced by patients and providers in obtaining payment for services rendered is the ability to timely secure and provide additional documentation requested by the insurer after the patient’s discharge.
. In most cases, the insurer is seeking information in order to determine whether another source of payment (other health insurance or third-party liability) is the payer with primary responsibility.
Unfortunately, the carrier requests might be unclear, incomplete or confusing. Sometime, the requests are sent to the wrong individual or address, or the patient may have difficulty in locating the requested information.
Our Staff is available to assist patients in “navigating” the path to obtaining payment. Utilizing our expertise regarding insurance billing requirements, and our field services staff, the Law Firm will assist the patient in understanding the reason for the carrier’s request and help the patient secure and forward the necessary documentation to the insurer as quickly as possible.
Our staff will answer patient’s questions about their coverage and assist them in overcoming obstacles to obtaining payment. Our representatives are also available to help complete required forms as well as prepare more detailed summaries, where necessary.
To guarantee a successful outcome, our process relies on maintaining communication with the patient throughout the claims adjudication process. In most cases we will request that patients execute the required documents and assist our office in obtaining the necessary information.
If necessary, and with the patient’s consent, we will appeal adverse benefit determinations through all levels of appeal. We are also able to pursue administrative and legal remedies, when required.