Services
Benefit Plan Selection and Cost Comparison
Review and summarize benefit plan and coverage recommendations for employer sponsored plans in preparation for open enrollment or qualifying events. Compare and select private or marketplace insurance options and Medicare supplements. Customized cost analysis and recommendations.
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Medicaid pre-qualification consultation, application submission and coordination.
Medical and Pharmacy Claims and Issue Management
End to end medical and pharmacy claim management. Claim review, reconciliation, insurance payment verification and coordination for payment of final balances. With a signed release form, Tricia serves as your representative owning all coordination with your insurance carrier and providers for billing and recovery.
Medical Appeal Coordination
100% appeal approval rate. Plan and coverage research prior to formal appeal letter preparation and submission to the respective insurance carrier. Services include formal notification to the State Department of Insurance and Banking. If necessary, Tricia coordinates second level and binding appeals in the event the first appeal and denial is upheld.