Frequently Asked Questions About Healthcare Insurance

The likelihood of receiving a reimbursement for a denied medical claim depends on several factors, including the type of claim, the stage of the process (submission or denial), the policy information (fully insured, self-funded, etc.), coverage details (deductibles, coinsurance, etc.), exclusions, whether it is a state or federally governed plan, and the players involved (UR Co, Ins Co.). As a layperson, it can be challenging to understand the intricacies of fighting a claim denial. That’s why our advocates provide a crucial initial consultation to identify the specific issues surrounding your claim and determine the best course of action. While the fight is never easy, claims are overturned every day, and our team has successfully overturned over 40,000 denied claims for our clients in the last year alone. Unfortunately, there is no guarantee that every claim will be approved. Still, our team is committed to helping you develop the best possible administrative record to pursue your post-appeal claims with legal counsel.

We understand that every case is unique, and families need choices regarding pricing. We offer three pricing options to fit the needs of our clients:

Hourly Pricing:  This option allows families to share the duties and work required on a case. The work can be tailored, and the family can delegate certain portions of the work needed to us.

Package Pricing: If you want to eliminate unexpected charges and budget the cost of our services, this is the option for you. All needed work on your claim is handled based on a flat fee.

Guidance Only:  This is our most economical option. It will benefit families in financial crises or those with the skills to write their own appeals. We guide you through the process step by step, allowing you to take advantage of our knowledge and expertise without affecting the outcome of your claim.

Contact us to learn more about these pricing options and how we can help you with your claim.

 At FixMyClaim, we believe in providing our clients the best possible service and value for their investment. That’s why we have made the decision not to offer contingency services. While other companies may offer contingency fees, this approach can create a conflict of interest between the service provider and the client. Instead, we provide a transparent and ethical pricing structure that ensures our clients receive the best possible value for their investment. Our $ low-cost Initial Policy Evaluation fee of $350 provides an alternative solution for clients needing help with their insurance claims. With our comprehensive services and unbeatable pricing options, you can rest assured that your claim denial review is in good hands. So why wait? Contact us today, and let us help you get the compensation you deserve! 

 Unfortunately, we cannot guarantee that your claim will be approved. However, we have a high success rate in appealing denied claims and will work tirelessly to advocate for your healthcare benefits. 

 The appeals process can take several weeks to several months, depending on the complexity of your case and the responsiveness of your insurance company. We will keep you updated throughout the process and work diligently to expedite the appeal process. 

 We work with providers in several ways. First, we offer billing services to help them streamline their billing process and maximize their revenue. We also offer back-end audits to identify potential revenue opportunities and improve billing accuracy. Additionally, we assist providers in appealing denied healthcare claims on behalf of their patients. 

 Unfortunately, we cannot guarantee that a patient's claim will be approved. However, we have a high success rate in appealing denied claims and will work tirelessly to advocate for your patient's healthcare benefits. 

 Our fees vary depending on the services needed and the case's complexity. We offer competitive and transparent pricing and offer a free consultation to discuss your needs and provide you with a quote. 

 Simply visit our website and schedule a free consultation with one of our healthcare claim appeal experts. We’ll discuss your needs and provide you with a quote for our services. We also offer referral programs for providers who want to refer their patients to us for healthcare claim appeal services.