Patient Bill Defender: Our Services

Unleash Your Savings Potential and Skyrocket Your Insurance Claim Success with Our Innovative Solutions

Bill and Insurance Statement Reviews

Maximize Your Savings with our Bill and Insurance Statement Review

Uncover the intricacies of the charges with a comprehensive analysis, revealing where things went awry and identifying potential areas for additional savings.
Explore a range of self-help options and discover potential resolutions tailored to your specific situation.
Gain an overview of our extensive list of services that perfectly align with your needs, along with an estimated cost to guide you towards a remarkable outcome.

Medical Record Audits

Ensure the integrity of your medical records and take control of your healthcare expenses.

An audit ensures standardized documentation requirements for services rendered are met.

Our comprehensive review includes a review of the documentation for:
- Diagnoses Codes
- Procedure Codes
- Modifier Usage
- Compliance with Coding Rules and Guidelines
- Inconsistencies in the Medical Record
- If the documentation is insufficient or incorrect, we can assist with HIPAA Record Amendments and Compliant Queries

Appeals

When Insurance fails you, let us be your guiding light in overturning unjust decisions.

Did you know? Less than 0.2% of denied claims are appealed. Let us help you win.

Medical Necessity
Experimental or Investigational
Plan “Exclusions”
Service Not Covered
Failed to get Prior Authorization
Eligibility on the date of service
Timely filing
No Surprises Act
Medicare No-Show
Medicare Extra Help

Fair Market Value Analysis

Lets make sure Healthcare Plays Fair

You comparison shop when you buy a TV, why wouldn’t you do that with healthcare?

This service is intended to scrap the standard charge healthcare facilities charge and come up with something more fair by researching prices, market trends, and data available to the public.

Negotiation

We present our findings to the people that have the power to lower your bill

Let us handle negotiations with the hospital or healthcare provider so you can kick back, relax, and enjoy the show. We strive to achieve maximum savings by utilizing multiple methods and sources to achieve results.

We will need a signed HIPAA agreement from the patient. If its an insurance issue, we may also need an Appointed Representative Agreement for each entity

Administrative Assistance

Take support to the next level with these additional services:

Communication via phone or in writing with Stakeholders
Medicaid Application Assistance:
Application for Long Term Care Assistance:
Application for Medicare Savings Program
Assist with locating resources to make medication more affordable
Financial Assistance Applications: Check out the Nonprofit, Dollar For: Click Here. They’ve helped people erase or reduce over 30 million dollars in medical debt.

White Glove Service

Unlock the Power of Effortless Savings

Discover the exceptional value of our service, available at an incredibly affordable hourly rate billed in quarter-hour increments. Say goodbye to financial uncertainty and hello to peace of mind with our comprehensive offering:

Thorough Bill Reviews
Expert Audits (when deemed necessary)
Strategic Appeals (when required)
Efficient Prior Authorization Reviews (If requested)
Precise Fair Market Value Determination
Skillful Negotiation
Seamless Communication with provider’s billing department and government agencies (as needed)
Detailed Research
Assistance filing complaints for violations of your rights on the state and federal level.

Empowering Results for your Financial Well-being

At Patient Bill Defender, we are dedicated to delivering tangible outcomes that empower your financial well-being. Our industry professionals are committed to your success, ensuring you receive the maximum benefits from our services. Contact us today and experience the relief of having healthcare financial stress lifted off your shoulders.