ERN/The Reimbursement Advocacy Firm (TRAF) recognizes that patients in need of treatment cannot fight third party payors due to the financial and legal advantages of insurance companies.
In a one-on-one situation, the insurance company will have lawyers and an abundance of resources to support their decision to deny coverage. An individual patient typically cannot afford to litigate, both in terms of time and money. Morever, patients are financially, physically, and emotionally strapped and unable to withstand a lenthy trial. Under these circumstances, there are slim chances of winning in court quickly enough for the patient to get the treatment they need.
TRAF representation will connect your claim and medical concerns to key individuals in the regulatory area of statutory compliance for each plan, gaining swift access to discuss non-compliance/reimbursement, claim submission recommendations and/or payor initiated corrective action plans. This access will challenge services that are denied improperly and not reimbursed timely.
PATIENT ADVOCACY HOTLINE NUMBER: (714) 995-6900 ext. 6921