business idea (insurance, pay, services, responsible)

[bande1102]

I have a business idea that I'd like to throw out here and get some feedback on.

I have been in the medical claims insurance industry for many years and have extensive experience with many different plans. I've also seen people get claims denied for really, well, stupid reasons. In my own experience I've been incorrectly billed by providers for nonbillable services. I am just amazed and saddened at how many people are paying for things that should have been covered/appealed/resubmitted or that they are not responsible for. That's not counting the people I've been helping who are so confused that they don't know what to pay or to whom. Sadly, some of the people most confused are the billing departments for my local hospital

Anyway, my idea is to offer a claims assistance service. Anyone think this is a good idea? I'm still working out the details as to how to bill, etc; but do you think there's a need for this?

[HDL]

bande1102, I wish I had good advice for you, but all I can say is that it sounds like a great idea!!! I certainly hope that you can get a business plan together and figure out a way to get it up and running soon!

Best wishes,

HDL

[chaos]

I know of several people that specialize in medical billing claims. They go over entire hospital bills and count everything, along with making sure it is documented. A few years ago, I saved several thousand dollars on a hospital bill because they were charging me for new born diapers, and other items that were never used.. my son was 6 at the time.. I knew I was going to need help going over the bill when the dr.'s office called and asked how my newborn was getting along.. I demanded the dr call me back. Then, when he got on the phone I said if you can tell me what either I or my son look like, I will be over and pay you in cash, if you cant tell me what we look like, you wont be getting a penny.. well.. long story short.. he was clueless.. saved a bundle.. and he ended up telling me it was a billing mistake... yeah its an awesome idea..

[jhlcomp]

I know someone who is doing just what you are proposing and is doing quite well. Good luck to you!