Managing one’s healthcare has become an overwhelming challenge.  Not only is the world of medicine in constant flux, but also the insurance industry that supports it has never been more complicated. With patients often confused and overwhelmed by trying to understand the clinical implications of their conditions and the medical bills that accompany those treatment options, advocacy is needed now more than ever. Advocates can guide patients through these complicated clinical and financial mazes to ensure that patients are fully informed before making critical healthcare decisions.

What Does a Patient Advocate Do?

If you have a health condition that requires extensive medical care, you’re likely overwhelmed, scared, and confused. A patient advocate is a person who can be on your side throughout the process of undergoing medical treatment so you don’t have to go through it alone.

They can help minimize your stress and provide peace of mind by clearly explaining the treatment options available to you and engage in healthcare discussions with your doctors and family members. They will investigate treatment centers, attend doctor appointments with you, assist with prescriptions, help with authorization needs, and explore special programs and access to the care you need.

The Difference Between Patient Advocates and Medical Bill Advocates

Although many use the terms interchangeably, a patient advocate should not be confused with a medical bill advocate — these are two separate specialists. While a patient advocate focuses on the clinical aspects of the patient’s needs, a medical bill advocate handles the financial side of the medical care rendered to the patient.

A medical bill dispute advocate will investigate the coding and billing associated with a patient’s clinical care, working to correct errors, dispute irregularities, and negotiate reductions in medical bills wherever possible.  Being trained in “medical billing speak,” they are able to effectively communicate with all providers of care as well as with health insurance companies. They deal with the accuracy of a patient’s medical bills and will make sure that patients are getting all the benefits to which they are entitled through their insurance.  Whether insured or self-pay, patients can help minimize unintended expenses and pitfalls by the thoughtful guidance of a knowledgeable medical bill advocate.

How Do Patient Advocates Work With Medical Bill Advocates?

Patient advocates often work alongside medical bill dispute advocates from the beginning of complicated cases. They can work together to ensure that you are getting the best medical care possible without falling victim to unfair or unethical billing practices.

If a patient is in need of extensive medical treatment that will likely result in thousands of dollars in medical bills, a patient advocate can work with a medical bill advocate to explore the most cost-effective options – before the bills are incurred.  If the medical services have already been rendered, advocates can work together to offer patients medical bill help.

A medical bill advocate can investigate what care is and isn’t covered by a patient’s medical insurance. By communicating with all involved parties, a medical bill advocate can work to negotiate more manageable fees for their care.

How Systemedic’s Advocacy Services Can Help

Systemedic’s medical bill dispute advocates understand the complexities of the medical bill dispute process. Our advocates regularly work together with patient advocates to ensure that you receive the care you need while minimizing your medical expenses. Systemedic has been in the medical billing business for over 30 years and knows what it takes to dispute even the most complicated medical bills quickly and effectively.

Offering a fee-based service for those looking to dispute their medical bills, our medical bill dispute advocates are skilled in navigating the insurance maze and will not take “no” for an answer. To get medical bill help from experienced advocates, contact us for a consultation.

Our Happy Clients

- B. Roberts

“ Sue and everyone at Systemedic was amazing. They found the errors in my bills, contacted the hospital, and because they spoke their language the bill were lowered. Saved me thousands. Thanks again guys! Would highly recommend

Our Happy Clients

- A Curren

Rob dug into my issue and did a detailed analysis and provided excellent guidance on how to address the billing issues. There are not many people in life that are this honest and helpful and take the time to explain the details. Thank you Rob for your great integrity. The world needs more people like you!

Our Happy Clients

- Saber DM

Had a great experience with Systemedic. I worked with multiple lawyers on different cases during the past four years but Systemedic showed me another level of support and responsiveness. I had a challenge on a medical bill with a very stubborn medical lab that Robert B. resolved very fast and effectively, which resulted in more than 50% savings. He was precise, professional, knowledgeable, and supportive. I highly recommend Systemedic as your advocate. His professionalism and the way he treated me was a pure pleasure.

Our Happy Clients

- D Baumann

Excellent service company. Helped me resolve my medical billing issues and saved me time and money. Well worth the investment. I worked with Sue N. and she was awesome - professional, persistent and effective. I would definitely use this firm again.

Our Happy Clients

- B Dayton

Had a fantastic experience with Systemedic. They took control of the situation and were able to navigate between the hospital and insurance until we found a resolution. In the end, we got a 50% refund on our bill. This was even more impressive considering we had already paid the bill and they were able to get the hospital to agree to a refund after-the-fact. Would highly recommend them to anyone trying to untangle confusing and unwarranted medical bills.

Our Happy Clients

- S. Cohen

You have been incredibly helpful and we are totally thrilled with your work.

Our Happy Clients

- A. Behr

Sue I cannot begin to tell you how VERY much we appreciate what you have achieved! Simply stated, you moved a mountain! A HUGE weight has been lifted from our shoulders and this was all thanks to yourself!

Our Happy Clients

- DV

Sue Null at Systemedic helped me navigate an extremely frustrating claim dispute with my insurance company, which tried to deny a $12k claim for an emergency room visit. After many fruitless phone calls to the insurance company and attempts to gather documents for an appeal, it just took one call with Sue on the line for the insurance company to suddenly discover they processed my claim wrong. Turns out instead of $12k, I owe nothing. I owe those savings to Systemedic for sure! Highly recommended!

Our Happy Clients

- Aurora S.

This was exactly what I wanted. I know how these bills can escalate
needlessly and people don't know. I now can pay these bills with peace of
mind. Thank you for your patience with me, and I feel much better.

Our Happy Clients

- Denise O.

Thank you so much for your words of wisdom, your honesty regarding the potential cost, and your empathy! Truthfully the empathy means so much in this frustrating situation!  I'm so thankful that there are services like this though! A true blessing!

Our Happy Clients

- Denise O.

Thank you so much for your words of wisdom, your honesty regarding the potential cost, and your empathy! Truthfully the empathy means so much in this frustrating situation!  I'm so thankful that there are services like this though! A true blessing!

 

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As many as 80% of medical bills
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