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Stories

Katherine, Song Plugger

“I felt so helpless and had no idea what to do. I could never have done this without the MHA. Really, I would not have known to even question the bill.”

Issue

Received a bill from her physician for over $5,000 for a procedure that she thought was covered by her health insurance. Doctor’s office refused to help and threatened to send her bill to collections.

Solution

MHA conducted a thorough review of Katherine’s medical bills and explanation of benefits to determine if there was an error from her insurance company or doctor’s office. A review of claims with her insurance company uncovered a very simple coding error from her doctor’s office. A call from MHA with the doctor’s office explained the error and a series of continued follow up calls ensued until her issue was settled and her bill was significantly reduced.

Outcome

Katherine’s procedure was covered and she was only responsible for 20% of the total bill. An affordable payment plan was worked out with her doctor and her issue was resolved.

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80% of musicians say they can't afford health insurance

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Music Health Alliance is a non-profit organization providing the music industry with healthcare advocacy through health insurance, healthcare resources and confidential guidance.

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