As everyone who has ever grappled with a serious health problem knows, accessing our healthcare system can be like setting off into an administrative jungle: it’s dark in there, there’s no clear path to follow, and billing and claims dangers can lurk behind every tree.
For instance, there's the employee who went to an in-network hospital and had surgery performed by an in-network surgeon, only to get billed for an out-of-network anesthesiologist. Or the employee who received a $33,000 bill for treatment he had received years ago because his doctor hired a new billing service and discovered a claim that had never been submitted to the carrier. Or the employee who spent hours on the phone trying to determine out why she was billed her for an out-of-network doctor visit before finally finding out that her physician’s name was spelled differently on the claim.
To help minimize or completely eliminate these painful and expensive problems, VistaNational provides each client with access to our client advocacy unit.
Our client advocates have worked in claims and billing for most of the major carriers, so they understand exactly how to work with hospital billing departments, carrier claims departments, doctor's offices and, where necessary, attorneys and collection agencies.
We’ve designed our client advocacy unit to be as hands-on as possible. This means that not only HR professionals but individual employees have access to our client advocates, whose only job it is to cut through these frustrating complications and get employee claims issues resolved quickly and permanently. It's all part of our Concierge Service.
With VistaNational, employees can feel good about their company’s insurance plans, because, at every stage of the process, they’ll feel taken care of.