WHO ARE WE?
As a certified medical auditor, I took on the task of assisting my mother, who suffers from lipedema in maneuvering through the appeals process. Initially, she was under the coverage of UHC, and although her initial surgery was ultimately approved, the second round denied. Fortunately, her insurance transitioned right around the denial to Cigna due to her husband's job. Similar to the UHC situation, Cigna initially denied the preauthorization, but through the appeal process, they granted approval. Currently, she is in the process of scheduling her procedure with Dr. Hagopian. Within my profession, I was astounded by the exorbitant fees some individuals charge to help women secure approvals. I questioned my mother about whether the effort we put into gaining approval was worth the high price tag, and we both reached the consensus that it was not, especially when those funds could potentially be used to offset the cost of your procedure in the unfortunate event that you have to cover it out of your own pocket. Moreover, the majority of the effort involved in this process is being undertaken by you, nor can anyone guarantee approval. I am willing to share with all of you, in a single phone call, the steps you need to take and how to navigate them. Additionally, I can provide you with an appeal letter that you can send to your healthcare provider as a helpful guide. This appeal letter can be invaluable since providers may not be well-versed in treating lipedema, especially if they do not have a consistent history of lipedema patients. It will assist them and you in navigating the process. Should you require a follow-up phone call, I am here to assist.
Our Vision:
To be of service to others, guiding them through the ever-mounting complexities imposed by insurance companies.
Our Goal:
To Empower You to a Pre-Auth Approval. We are committed to achieving one paramount goal: to empower individuals by securing pre-authorization approvals and simplifying this challenging process of navigating intricate insurance requirements. Our mission is to ensure that you can access the healthcare services you need with confidence and ease
If you have any questions please use the “Contact Us” page to get in touch.