HR Professionals

February is American Heart Month

February 1, 2012 : Mary

Each year, countless American families are impacted by heart disease and stroke. Although its risk factors can be prevented or controlled, it is still the leading cause of dea ...

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Appeals

Appeal Righttm

Let Benefit Advocates help navigate a health plan's grievance processes. This takes time, patience and experienced insight. Benefit Advocates' high touch processes take away the stress of grievances and appeals. Each dispute is handled by a single advocate on the Benefit Advocates' team. Whether it takes one phone call or 100, he or she works from start to finish for as long as it takes to:

  • Correctly diagnose the coverage issue
  • Conduct a health plan review
  • Negotiate with providers and health plans on behalf of an employee
  • Prepare informal and formal appeals
  • Resolve the dispute
  • Explain the outcome to the employee