Claims Audit Yields Savings
Frank received several expensive bills for his wife’s hospital stay. He was concerned about being overcharged and requested assistance from his Purple Card Patient Advocate. The Patient Advocate collected copies of the bills and explanation of benefits to perform a claim audit.
Upon completion of the audit, the Patient Advocate found all of the claims had not been processed correctly. She contacted the carrier on Frank’s behalf and had the provider reprocess the claims. Once the claims were reprocessed, the Patient Advocate saved Frank and his wife $2,051.
He was extremely pleased and responded:
“Thanks so much. I really appreciate all that you and the Purple Card have done for us! “