MedWise Insurance Advocacy — Your Medical Healthcare Advocate – Gets Results.
We are proud of the results we have achieved for our clients by analyzing and resolving medical bills, medical lien claims, medical insurance pre-authorizations, denied insurance claims and more. Following are some of their comments…
Adria is amazing! With one 20-minute phone call she saved us a couple thousand dollars. She also helped me make sure that my Dad had the absolute best care without being overcharged in anyway.
She saved our family over $10,000 in costs related to transportation, assisted living and skilled nursing facilities. Not to mention she saved dozens of hours in learning the system that is designed for time pressured regular people to not learn. She is absolutely amazing and super effective. You simply can't learn what she knows or be as effective to her. I highly recommend her working with you.
My name is Bianey Paramo and I would just like to take the time to say how thankful my family and I are to Adria Gross for helping us resolve a very big hospital bill above $23,000. I have four children and my husband is the only one who works and it worried us on how we were going to pay the amount. I thank God for meeting Adria Gross and all of her hard work in turning $23,000 to just $600. I hope God sends her many blessings and helps her to keep helping people that are in the same situation we were in, because without her we wouldn't have solved this problem.
“I cannot thank you enough for your recent medical bill advocacy on my behalf regarding an exorbitant medical bill for routine blood work. Feeling caught between a lab that was billing me and an insurance company that would not honor its claim, I turned to you for advocacy. You immediately allayed my concerns, worked closely with me, conducted valuable research and together we contacted the laboratory involved to resolve this issue, all within one week. Due to your stalwart involvement, the laboratory settled for a small payment-in-full that amounted to 24 times less than the lab originally charged for its work. You immediately brought to the lab’s attention a fee amount that is usual, reasonable, customary and allowable, based on your expertise and they immediately accepted the offer. It must also be stated that throughout this ordeal you remained accessible, personable, affable and good-humored, characteristics that certainly made me feel much better. It is clear to me that our system has been designed for profit on the part of insurance companies and others involved in the medical profession as opposed to attending to the health of our citizenry. The system is also terribly complicated and bureaucratic. That said, it is good to know that there are decent individuals such as you who can offer a helping hand at a time of need. I highly recommend your professional services without hesitation to anyone experiencing a medical billing issue. Together, we fought “Goliath” and because of your advocacy, clearly “David won the battle”. ”
“I have known Adria for almost fifteen years. Over the years, Adria has [assisted] me and my family in many medical and health insurance matters. She has been able to create a resolution to every medical insurance difficulty that we have encountered . . . guiding us through the obstacles. Adria looks at the intricate details of the situation and is always able to solve whatever problems we face. Adria has demonstrated her ability to interpret all of our medical bill issues and decipher incorrect coding or human errors. With every distressed situation, Adria relieves our fears and trepidation. We feel blessed to know Adria and would recommend her to any organization or future ambition that she might desire.”
“Due to MedWise Insurance Advocacy within a short period of time my denied claim was paid. I experienced a test at a New York City hospital; all the bills were paid by my insurance carrier except for the pathology reports. The hospital is located in New York City and the pathology bills were sent from another state. The insurance company kept denying the claims since the bill was being sent from outside New York State. Adria Gross, at MedWise, realized the confusion and kept going up the ladder within the insurance company for them to understand, determine and agree that the claim was payable. Bravo to MedWise for contesting the claim to be paid! Thank you Adria at MedWise for your productive work and fortitude. ”
“I've known Adria for several years and have had numerous opportunities to discuss business ideas and processes with her. I have gone to her numerous times for information and advice regarding her areas of expertise. Adria is extremely knowledgeable and always willing to help. She has received a great deal of recognition in her field, all of which is well deserved. I have no hesitation recommending Adria for all of your billing needs.”
“I have known Adria Gross for over 20 years, and I am continually amazed by the depth and range of her remarkable intelligence, insightfulness, reliability, resourcefulness, limitless energy-and her ability to get the job done quickly, efficiently, and effectively. Adria remains a constant source of awe and inspiration with her capacity to think creatively about challenging problems and dilemmas, arriving at workable solutions in a very short time. Highly ethical, completely professional, and with an eye towards making a lasting difference in the world through her business practices, Adria brings new dimensions to the business relationship. It becomes a wonderful and memorable experience to participate in Adria's medical billing business and I encourage everyone to partake of her services. You won't be sorry.”
“Adria . . . is an outstanding insurance advocate for many individuals and families. My family had a situation where our internal medicine physician did not have a contract with Medicare. For us to receive reimbursement from our secondary insurer, we were required to obtain a letter of denial from Medicare. We called on Adria and she was able to obtain a denial from Medicare and a reimbursement from our secondary insurer. Without Adria's assistance, I do not know if we could have ever received a compensation for our medical bills. I would highly recommend Adria to all of my friends, colleagues, and clients as an effective communicator serving as a liaison between all patients, medical providers, attorneys and insurance companies with any medical insurance problems that surface.”
“Adria reviewed and analyzed medical bills and Medicare statements for us in a litigated matter and did a phenomenal job, enabling us to provide proof of the appropriateness of the amounts claimed. Adria is diligent and dedicated to her task, and I recommend her most highly. Top qualities: great results, personable, expert.”
“I just wanted to thank you so very much for all the professional support, direction and recommendations you provided for me regarding my parents' health insurance issue. I am so appreciative that you were able to provide such a quick turnaround of information which enabled us to make very important decisions in a timely manner. I will surely be recommending you and your services where I can . . . you were a lifesaver and the support I so needed at such a difficult time.”
“Adria has the highest percentage of claims paid within thirty days. She quickly follows up on claims that were not paid and her follow ups always led to quick resolutions. Adria always stays current with Medicare changes, insurance changes and regulations, as well as new CPT coding updates. Adria is professional, knowledgeable, ethical and highly motivated. She will be an asset in any work environment.”
“Adria has provided excellent service for our company for many years. [She] has proven her expertise in billing issues especially with Medicare. With our company, we deal with complicated, multi-code claim submissions. With Adria on these claims we do not have to worry about any denials . . . we are certain that we will receive payment. She gives her unspanided attention to completing the process of submitting and payment of all claims. Adria is highly respected by our employees and us. She has had an amazing impact on our company's atmosphere. Adria always approaches her job as a professional businesswoman. We consider her a great asset to the company.”
“Adria Gross is a hard-working, conscientious professional. She is enthusiastic and keeps on top of the latest news and regulations in her industry. Her services would definitely add value to your company.”
“I extend my sincerest thanks on behalf of my mother and my entire family for your hard work. I was overwhelmed with the sheer number of medical bills that continued to barrage me daily-that's when I turned to you. Your professionalism, sensitivity and timeliness helped to make a very difficult situation better. Your ability to negotiate with doctors and hospitals saved my mother both time and a great deal of money. Thank you for all you have done to help my family. I would recommend you and your company to anyone who needs help dealing with medical bills.”
“Adria helps me bring the best to my clients. She is extremely generous with her vast knowledge and I call on her to answer tough medical billing questions for me and my clients. She knows the 'ins and outs' of the insurance industry and has the patience and persistence to get things done! Thank you, Adria! Top qualities: personable, expert, high integrity.”
“Adria is a very organized and detail-oriented woman who has a willingness to learn from the people she deals with. She works well under pressure and is quite capable in ensuring that the job gets done in a timely manner. Adria is a very committed, trustworthy and responsible business woman and always guards the confidential nature of her business dealings to protect everyone's privacy. Adria also is excellent at following through to get money for her clients from the insurance companies, developing relationships with key people who can move claims through the system. I would recommend Adria without any reservation to be a tremendous asset to every employer.”
“Adria is definitely one of the most ethical and trustworthy persons I have ever encountered. With a willingness to go the extra mile . . . Adria demonstrates a generous spirit . . . standing up for the right thing when it comes to advocacy for others . . . . I would not hesitate to hire Adria in any capacity and recommend her most highly to your company.”
“I just wanted to thank you for “giving a hoot” and assisting me with questions I had regarding a medical billing issue. Although, in the end the answers that you provided were not quite the ones I wished to hear, I feel they were honest answers based on the information I provided. Honesty and integrity does matter. I hope to not ever be in this situation again, but if I do I will certainly remember to call upon MedWise Insurance Advocacy for a medical bill advocate. ”
“Faced with the mounting paper work, and the run-around the insurance carrier was giving us we were at a loss of where to turn. And then we found Adria, and MedWise. We are absolutely ecstatic that you were capable of reversing the multiple medical insurance denials. You took an amazing interest in not just the case, but a true and heartfelt interest in the ordeal that our daughter had gone through. It was as you were working with your family. And for that alone we are truly grateful to you. Thank you for your responsive, professional and empathetic characteristics. We will unquestionably recommend your expertise to anyone that desires or needs a medical bill advocate.”
“I never imagined that I would ever see the compensation from the health insurance carrier. You continuously advised me to be positive and you always believed you would be successful handling my case. Look at your accomplishment! The hospital bills were paid for by the insurance carrier after a semi denial. You also assisted us in subrogating funds back from the hospital which we had previously paid . . . Thank you for your due diligence!! . . . I will recommend you to anyone with insurance problems. You are a remarkable outstanding patient advocate with a wealth of information. Thank you for persevering on behalf of your clients and certify they receive the monies they are entitled to.”
“I strongly recommend Adria Gross of MedWise as someone you can rely on to assist your clients in determining what is right and wrong in both Medicare and private insurance claims against their judgments and/or settlements. From her experience as a claims processor in the insurance industry, she is familiar with the "games" that are played by insurers, as well as circumventing their tactics. Her familiarity with the diagnostic codes used by healthcare providers enabled her to highlight those claims she felt were inappropriate in my case to get to the legitimate ones.”
You are just AMAZING a total angel... thank you, thank you, thank you!!!!
I was recently saddled with almost $4000 in medical bills unexpectedly. What was incredibly frustrating is that I seemed unable to make any headway into solving the issue between the provider and my insurance company.
I decided there must be such a thing as a medical advocate and immediately started an internet search to see if I could locate such a service. I found a few sites, but it was only Adria Gross's that made me feel comfortable about making the call. After scrolling through pages of solid testimonials on her site, I felt confident that if anyone could help me, it would be Adria!
I was right! In less than 10 days, Adria had cut through all the levels of bureaucracy to find the exact right department to present the case. Not only did she present the case, but when the insurance company was unwilling to pay the claim Adria argued the case and requested to go up even higher. Soon after that the case was settled, with the insurance company paying 100% of my bill.
I should also mention that throughout the process, Adria stayed in constant contact with me via email and phone.
Adria gross is tops in my book, as well as in my pocket book! I have already referred her to a colleague and will continue to refer her, and her wonderful service, to everyone I know.
I contacted Adria Gross of Medwise Billing, in January 2014. During this time I had been without health insurance and had just received treatment at a local medical group for a routine Colles fracture of the wrist. Upon receipt of my final medical bills for 2 doctors visits and 2 xrays I was astounded at the cost and realized that I had been billed way and above the ordinary and customary charges that a patient with insurance would have been required to pay. Adria Gross was immediately responsive to my pleas for help. She was well connected with people in high places and well informed as to how to dismantle the brick wall of my medical groups billing agency. Moreover she was willing to go the extra mile for my case and charge me a very reasonable amount for her services after the negotiations were successful.
I am very pleased to recommend Adria Gross and Medwise Billing to anyone who has been victimized by our current medical billing system and doesnt have an insurance company to dispute unfair charges. She cares about the man on the street and is a powerful resource against corruption in medicine.
Last year, my daughter was hospitalized with a mental breakdown in the psychiatric ward for about ten days, and then was treated as an outpatient at the hospital for a period following.
On the traumatic Thursday that I placed her on an involuntary hold at the hospital, I realized that she would turn 24 years old on the upcoming Sunday, and her insurance as a family member under my insurance plan would end. So I had to scramble all day that Friday to get the insurance company to confirm that she would be covered under a pre-existing condition for her hospital stay. At the end of the day I had barely managed to be successful, and knew that my daughter could stay in the hospital without major financial damage.
After my daughter was discharged from the hospital, the hospital bill came, and it was $12,530.16 over what my insurance was willing to pay. After several months of trying to negotiate the bill by myself, I was discouraged and getting nowhere. Eventually, I was desperately facing a threat by the
hospital to go to collections.
I now know just how stressful it is to be worried sick about a family member, and providing care, holding down a job, while at the same time, having to deal with the confusing and byzantine world of health insurance coverage.
A friend of mine recommended that I try to find a "health care consultant".
I didn't even know that there were such people. After a search, I found Adria at MedWise.
Adria, quite simply, came to my rescue. She was warm and friendly and caring, and immediately put my mind at ease by explaining what she would be able to do. Adria was available anytime I needed to get in touch with her.
I sent her all my notes and paperwork, and she immediately got to work on my behalf. The stress of dealing with the bills was taken off my plate, and I immediately felt better.
Not only did Adria help with my daughter’s hospital bill, she was also able to reduce or have dismissed several other doctor and therapy bills that insurance was refusing to cover.
Adria has a stellar knowledge of the health insurance industry, and she gets results. At the end of her work on my behalf, she was able to save me a total of $13,370! It was well worth the reasonable rates she charged. I could never have been able to get the same results on my own.
I wish that everyone knew about Adria and her work. I can't recommend Adria highly enough. It is exceedingly difficult to be a advocate for yourself in health insurance billing, and Adria's expert advice is invaluable.
If you are faced with the byzantine world of medical bills, contact Adria NOW. She not only saved us thousands of dollars in medical expenses, she gave us that most wonderful of gifts: peace of mind. Her fees are amazingly reasonable, and she is also a delight to work with. She will work ferociously on your behalf with insurance companies, hospitals and doctors. I will never deal with another large medical expense again without hiring Adria first! Thanks for all you do!!
To whom it may concern,
As I was seeking assistance with care regarding insurance issues and medical cost negotiations if this were to become necessary, I turned to the internet. I found Medwise Insurance Advocacy, Inc. and was immediately impressed. It was everything I was looking for when I started my search. I called the number immediately and Adria Gross the owner answered her phone and listened to the problems I had been encountering with the insurance company and phone calls due to claims not being paid. She was very empathetic and immediately took a valued interest in the issues shared. I knew that minute I would hire her to assist with my insurance issues.
I sent the necessary information to help Adria’s company to assist me with my bills, and insurance information. Once the information sent was reviewed, I received a phone call from Adria which lasted four hours. Together we called all of the relevant hospitals, clinics, and various small physician groups. We then called the insurance company and found the information sent to them had been enough to reverse their denial of coverage due to a pre-existing clause and the claims will be paid as of February 1, 2014. After hearing the information I was still unclear to the meaning shared by the customer service representative. Having Adria on the phone with me to explain the information was invaluable.
Adria has been a godsend to me as I have attempted to traverse through the difficult challenges of the insurance company and medical facilities requiring payment. It is obvious Adria truly has a heart for those families and individuals who are denied coverage and then get the run around from insurance companies. She also has the gracious spirit to help others. I have the utmost confidence in and admiration for Adria. In this day and time it is rare to find one who is more dedicated and motivated toward serving others.
"We received a medical bill for over $3000 for an MRI that should have been covered by insurance. Insurance denied the claim, and we ran into multiple roadblocks with both the provider and the insurance company. Adria Gross with MedWise was able to walk us through the appeal process and help guide us through the otherwise confusing insurance process. What a relief it was to get a letter from the insurance company stating that the appeal had been approved and they would pay our claim in full! I would highly recommend Adria for anyone needing assistance dealing with health insurance claims. Great service and very responsive. Thanks Adria."
If a medical insurance corporation is stone-walling your claim, don't argue with them-- go see Adria Gross. Adria is not merely a top professional, she practically invented her profession. She is a passionate and empathic defender of the rights of her clients. She treats her clients like human beings and pays attention to their stories. She says that every case is different--I am sure that she devises a different strategy for every case. She certainly has a lot of strategies. She has spent years studying the system. She has a profound knowledge of the way medical insurance corporations work (or don't work) and she is familiar with both the legal and the financial aspects of each case. She stays on top of current developments.
We went to her because we were trying unsuccessfully to collect reimbursement for an emergency hospitalization that occured in a foreign country. (It was clearly covered by our policy.) There was a lot of money at stake and there seemed to be no hope of ever seeing it again. But when Adria got to work, the stone wall began to crumble. In the end, after months of stalling tactics, they finally ponied up the full amount. There's no way we could have recuperated the money if Adria had not intervened. She moves mountains!
Surgery is terrifying enough; the endless insurance hassles waiting on the other side are mind-boggling. After a year of making every effort to resolve an exorbitant and unreasonable surgical fee, I was fortunate enough to find Adria Gross. She was the first person who was able to make sense of the system for me. In addition to resolving my billing problems, she shared my outrage at the unfair bills that were arriving on my doorstep. For the first time in a year, I felt like I had someone on my side. Adria is knowledgeable and caring, and I can't recommend her highly enough.
If you are looking for a medical insurance advocate, I can highly recommend Ms. Gross. She is a force of nature! She reviewed our all of our information rapidly and was able to cut to the heart of it all in two sentences. Adria reduced our bill from $6,300 to $190 within a couple days. She was very direct and professional in her communications with us and everyone she contacted on our behalf.
In one 30 minute phone consultation, Adria was able to help me settle an issue I had been battling for 5 months and was able to reduce my bill by $1,100. Thanks Adria!!
Adria enjoys being a medical bill advocate and I believe this is the key to her outstanding success.
When you are overwhelmed by your medical bills and you would like to have a meaningful conversation about the charges you are faced with and what can be done about resolving them, call Adria. Talking with a person who cares about finding a way to help your family is such a wonderful feeling of support. Her enthusiasm to listen to your concerns and then investigate the best way to approach your bills becomes an uplifting experience, rather than one that is beating you down.
Adria offers a high level of customer service. She answers her phone and works on your case herself!
She works on weekends!
She lets you know when you will hear from her and she often gets back to you sooner then she anticipated.
She is upfront about her billing and tries to estimate how much time the case may take her.
She sent the contracts immediately and started to work immediately.
She takes each case personally and listens to your needs, asking a lot of good questions to understand every detail of your case.
Adria depends on years of experience to get heard by the right person and keeps persisting until she gets the answers she needs. She knows where to push to get money back finding errors in the bills you have been presented. She knows how to appeal to the bill collector's human side and helps them to understand what you can afford. She understands the personality of the people she needs to deal with and can speak their language making it easier for them to help your family.
On top of everything, she takes time to chat with you about your life and listens. She also shares heartbreaking and heartwarming stories of other families in similar situations with you. She is a fantastic storyteller and it is a privilege to listen to her life accomplishments and experience.
- The Huffington Post – 21 Hacks to Reduce Your Health Care Costs This Year
- Bloomberg Business – New Year's Resolutions for Your Health and Your Wallet
- Fox News – How to Negotiate Your Hospital Bills
- Boston Globe – Out-of-pocket Costs Put Health Care Out of Reach
- US News & World Report – 6 Questions You Should Ask Before Paying Any Medical Bill
- Bottom Line Publications – Learn How to Get Your Medical Insurance Claim Paid
- CBS News – What happens a lot of times is that the insurance company tries to find a way to hold the money and deny the claims…
- USA Today – Find mistakes or overcharges in 80% of the medical bills…
- Newsday – Medwise Insurance Advocacy Wins Cases Previously Denied Multiple Times, Recoups Half a Million Dollars in Unwarranted Medical Expenses
- Journal News - Medical bills: Baffled consumers seek help as rising costs vary widely among hospitals
- Hudson Valley Business Journal – Adria Gross: Shining a light on epilepsy
- Times Herald Record – Adria Goldman Gross, FIPC, received the 2008 Insurance Professional of the Year Award from The Federation of New York Insurance Professionals of Orange County
- WJTV News CBS – Reimbursed her client $43,000, his original $35,000 out-of-pocket costs plus interest..