F.A.Q.   
 


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Frequently Asked Questions of The Patient's Advocate
1.  What is the mission of the Patient's Advocate?
Answer:
  The Patient's Advocate will fight to get you every penny of what is due you.  What insurance companies won't tell you, we will.  We are on your side.
2.  How much will it cost to get help to fight my Insurance Nightmare?
Answer: 
There is an initial fee of $300 to begin any case. Total cost depends on the complexity of the claim and the number of hours spent. This will be explained in detail in advance.
3.  How do I get help from the Patient's Advocate?
Answer:
  Send an e-mail to PatientAdvocate@cs.com and inform us what your problem is. We respond to all e-mails and after our discussion, we will inform you if we can help. We only take cases we believe we can win.
4.  Can the Patient's Advocate help with my disability claims?
Answer: 
Yes. We can help you recover what you are entitled to for all medical related claims.
5.   I can't get anywhere with my insurance company.  How can you?
Answer: 
After years of experience working on the 'inside' and working as a patient advocate, we 'speak the same language' they do, and we know your rights.
6.  Do you sell insurance?
Answer:
  No.   The Patient's advocate is not affiliated with any insurance company.
7.  My provider says they submitted the paperwork properly, but the claim was denied.  Why does that happen?
Answer:  This is a common problem.  The provider of medical service wants to help but doesn't know how or what went wrong.  In a lot of our auditing, we find common human errors including keying errors that effect the processing of a claim.
8.   How am I billed and how do I pay?
Answer:  
You are billed once your case is settled and/or periodically for expenses.  You can pay by check or Mastercard, Visa and Discover by phone.
9.   What if you can't help me?
Answer:  
We have a large database of agencies and social service organizations that we will refer you to, that may be able to help you.  However, in some cases you may decide that retaining an attorney is appropriate. 
10.  What area do you cover?
Answer:  
We have clients all over the US and Mexico. Everything can be handled by e-mail, fax, US mail, Federal Express, or by the phone, so geography is not a problem .
11.  Do I have to sign anything?
Answer:  
You will be asked to sign a service agreement and an authorization to release information. This is to protect you as well as explain what is expected of the Patient's Advocate.
12.  What was the largest amount you were able to recover or save for a client?
Answer:   $123,000
13.  What is the most common error or problem that you see?
Answer:  
Miscommunication on all levels. Doctor to patient, doctor to coding staff or billing service, billing service to insurance company, and insurance company to patient. Many miscommunications are due to poor interpretation of the facts. The right hand doesn't know what the left hand is doing. The patient is caught in the middle, doesn't know who to believe, and being the ultimate bearer of the financial obligation, many times just pays the bill out of frustration. There is no average case, all situations are different, and no two problems are the same.

 

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 The Patient's Advocate SM
Mary Jane Stull, CAP
1111 Harvest Circle
Mishawaka, IN 46544
Tel: 574-252-5550
Fax: 574-252-5551

COPYRIGHT 2000 - 2008 The Patient's Advocate, Inc.,
Last modified 4/06/2008