"OK - HOW CAN YOU HELP ME GET APPROVED?"

1-877-99-APPEAL

OBTAINING THE MEDICAL RECORDS AND INSURANCE INFORMATION NEEDED TO WIN
This is often time-consuming and frustrating. In addition to what you can provide, we will obtain any additional medical records and/or insurance documents needed to thoroughly analyze your case in order to make the strongest appeal possible

USING OUR VAST EXPERIENCE AND LEGAL ANALYTICAL SKILLS TO PRESENT YOUR STRONGEST CASE
We carefully examine all the medical records and other documentation and create the best approach(es) to your appeal

DRAFT A COMPREHENSIVE APPEAL ANALYSIS WHICH POWERFULLY TELLS YOUR STORY
We draft a comprehensive letter to the insurance plan outlining all the reasons why the denial is incorrect and must be reversed and include the records and other information available to support the appeal.

SYSTEMATICALLY AND METHODICALLY FOLLOW-UP WITH THE PAYER TO BE SURE YOUR APPEAL IS BEING HANDLED PROPERLY AND ON A TIMELY BASIS
Another time-consuming and frustrating process that often involves literally hours “on hold” on the phone. We work with your insurance plan to be certain your appeal is being handled properly and with your best interests in mind, not the interests of the insurance plan.

PREPARE YOU AND REPRESENT YOU AT INSURANCE PLAN APPEAL HEARINGS
At some points in time during the insurance plan’s internal appeal process you may have the chance to present your case to a committee with the authority to approve your surgery. We will represent you and present your case by conference call at any of these hearings. We also prepare you in advance about the hearing process and how you can best participate.

ENFORCE YOUR RIGHT TO GET AN INDEPENDENT REVIEW WHENEVER IT IS AVAILABLE OR REQUIRED
If the insurance plan clings to its “NO” after we’ve completed their internal appeal process we do everything possible to ensure that a meaningful independent review of your case is performed in every situation where your insurance plan, state or federal law requires that option. We’ll be sure your case is presented to that reviewer in the strongest possible terms to make certain there is never any deference to the insurance plan’s wrongful decision to deny your surgery.

601-C East Palomar Street #480 Chula Vista, California 91911 Tel - 877-992-7732 Fax - 844-384-9199

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