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Consumer Resources

Consumer, Patient Advocacy, and Other Resources

We’ve put together this page to provide you with information and resources you may find valuable. DISCLAIMER: Listed sites are not an endorsement or recommendation. They are provided strictly as a resource.

To hire a billing and insurance advocate to assist with an insurance claims matter, please click here

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Advance Directives - by State 

Appeals - Mental Health Claims

Attorneys - Not Authorized to Practice Illinois Database

Balance Billing - State Legislation

Balance Billing - State Restrictions

Catholic Charities

Company Contacts

ConsumersUnion

Costs of Care

Crime Victims Compensation Application by State

Drug Approval Database (Includes if Generic Available)

FAIR Health Consumer

Financial Assistance - Age 55+

Financial Assistance - American Kidney Fund

Financial Assistance - End Stage Renal Disease Network IL 800-456-6919

Financial Assistance - Illinois

Financial Assistance - Medication, Services + Procedures

Financial Assistance - Medication

Financial Assistance - Medication + Coupons

Financial Assistance - Medication Patient Assistance Programs

Financial Assistance - RIP Medical Debt

Financial Senior Resources - Financial, Housing, Care, etc.

Grant - Pediatric Medical Expenses (UnitedHealthcare Foundation)

Healthcare Bluebook - Cost Comparison

HealthEngine - Cost Comparison

Identity Theft - What to do

Illinois AG Health Care Bureau

Illnois Department of Human Services - Program Locator

Illinois Department of Insurance

Illinois Department of Insurance - Complaints/Questions/Review

Illinois Legal Aid

Investment Professional Searchable Database

Job Banks - by State

Jobs - Telecommute

Medical Records Access & Rights

Medical Record Fees by State

Medical Yellow Pages

Medicare - Ambulance Coverage, Appeals

Medicare - Create Online Account

Medicare - Interactive, Understanding Coverage

Medicare - Member Rights and Responsibilities

Medicare - Rail and Labor Workers Coverage and Information

Medicare - Senior Health Insurance Counseling and Resources

Medicare - Senior Patrol

Medicare - Understanding Options and Support Options

National Association of Insurance Commissioners

OIG - Excluded to Participate Individuals/Entities: Medicare, Medicaid, Federal Health Programs

Patient Advocacy - National

Professional Patient Advocate Institute

Senior - Other Helpful Insurance Resources & Contacts

Senior - Senior Services of Will County

Senior Hotline - Addiction 

Senior Hotline - Illinois Department on Aging

Senior Journal - General News for Seniors; Medicare and Medicaid Changes

Think Blue - Community Specialists, Health Insurance

Veterans - VA Call Center for Vet Choice Program: Billing and Collection Issues

 

 

Success Stories


Average bill age when our office received: 180 days plus BALANCE: $ 1,233.00 PROBLEM: Claim denied needing primary EOB. SOLUTION: Claim billed to supplemental policy instead of MMAI policy which was effective for service date.
Average bill age when our office received: 180 days plus BALANCE: $ 2,176.00 PROBLEM: Claim denied because of no insurance coverage for service date. SOLUTION: Claim was filed to incorrect claims address.
Average bill age when our office received: 180 days plus BALANCE: $ 1,013.50 PROBLEM: Claim denied because of insurance ID mismatch. SOLUTION: Claim filed to traditional plan vs. community care.
Average bill age when our office received: 180 days plus BALANCE: $ 1,203.00 PROBLEM: Patient disputed charge/balance owed, comparing it to a similar past bill. SOLUTION: Explained itemized charges and balance owed because of deductible. Patient stated first time someone took the time to explain and set up a payment plan.
Average bill age when our office received: 180 days plus BALANCE: $ 1,007.50 PROBLEM: Denied by hospice as non-eligible benefit and Medicare as ID name mismatch. SOLUTION: Verified/corrected Medicare ID, name and date; confirmed hospice non-eligibility.
Average bill age when our office received: 180 days plus BALANCE: $ 1,305.00 PROBLEM: Denied no pre-authorization for service. SOLUTION: 3-way call with patient and insurance. No ER report on file when claim originally submitted. ER report since received.
Average bill age when our office received: 180 days plus BALANCE: $ 1,001.50 PROBLEM: Denied with "misrouted" and "claim not covered by payor". SOLUTION: 3-way call with patient and insurance. Claim was related to mental health so should have been filed through carve out policy.
Average bill age when our office received: 180 days plus BALANCE: $ 1,755.00 PROBLEM: No response from insurance after requested records submitted. Patient stated insurance paid. SOLUTION: Billing office did not receive/post insurance payment. Called insurance and records received but claims representative had not released for processing.
Average bill age when our office received: 180 days plus BALANCE: $ 4,540.50 PROBLEM: Multiple bills, same service dates as claims already paid. Denied due to no pre-authorization for service. SOLUTION: Call to insurance who verified no pre-authorization requirement. Two claims not found. To prevent duplicate denial upon resubmission, account rep notated resubmission for return transportation trip. Proof of timely filing submitted with claims.
Average bill age when our office received: 180 days plus BALANCE: $ 1,180.00 PROBLEM: Denied due to no pre-authorization for service. SOLUTION: 3-way call with patient and insurance. Claim should have been sent directly to IPA vs. umbrella insurance location.
Average bill age when our office received: 180 days plus BALANCE: $ 1,117.00 PROBLEM: Unpaid due to incomplete demographic information. SOLUTION: Contacted pick up and drop off locations. Sent release to obtain information and patient’s name misspelled.
Average bill age when our office received: 180 days plus BALANCE: $ 1,605.00 PROBLEM: Denied due to medical necessity. SOLUTION: 3-way call with patient and insurance. Spoke with multiple reps and received different answers including claim not found. Claim was found with no response from medical board. Patient had to submit medical records.
Average bill age when our office received: 180 days plus BALANCE: $ 1,007.50 PROBLEM: Denied multiple times as duplicate. SOLUTION: Located claim number ID, amount paid and date paid. Claim had already been paid in full but not posted.
Average bill age when our office received: 180 days plus BALANCE: $ 1,650.00 PROBLEM: No insurance on file. SOLUTION: Pick up location was state prison. Located inmate ID and could be billed to prison insurance as still within timely filing limits.
Average bill age when our office received: 180 days plus BALANCE: $ 2,295.50 PROBLEM: Denied as “forwarded to another entity for processing”. SOLUTION: Called insurance for medical group processing information. They did not have claim on file. Resubmitted with proof of timely filing.

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RMK Holdings Inc.

111 North Avenue
First Floor, Suite 104
Barrington, IL  60010

866-446-4800 toll-free phone

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