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Networks, participating providers, contracted rates

Friday, December 21

Network statusNetwork status, par providers, contracted providers, contracted providers… And it comes down to what you pay and how much you.My insurance with my old employer was with a third party administrator self-insured group called First Choice. First Choice was the network. We had three lev...


Valid and Billable Codes: a closer look at what that means

Sunday, December 09

Valid and Billable CodesLast post I talked about what a CPT code was and a diagnosis code.CPT – what we are doing. Diagnosis Code – why we are doing it.Another small piece here for you. What is a valid and billable code? And why is that important? And why did I still get an outrageous bill even...


Valid and Billable code. Wait, whats a Code?

Sunday, November 25

Valid and Billable Code, what’s a code?In New England I learned to say Soda, and in Washington State they make fun of me because I don’t say Pop. CPT and DX codes are ways of everyone talking about the same thing.The CPT (Current Procedural Terminology) code is what we are doing to you. Diagnosi...


Basics of Health Insurance Benefits

Thursday, November 08

Having to simplify this has been a challengeThe number of variables when trying to quantify potential explanation of benefits has been a complete crap shoot. The variables are infinite. But to move onto the next part we have to have a basic understanding of what we are looking for when you sche...


The Insurance card, the newest one, that can be read

Thursday, November 01

I am trying to keep this relevant to real estate, but the reason I even thought about doing this blog was because on the BP Money Show they keep saying ‘Would like a show about health insurance’.My job was to work accounts that did not have insurance. I would enroll people into Medicaid, find th...


Know Your Renewal Dates

Friday, October 26

Why do I consider this an insurance hack?  Most insurance hacks are going to be just knowing what the heck is going on with your insurance.  And I need to simplify this to where you can take small bites of my years of experience.  Your plan renewal dates can help you keep money in your pocket.  Y...