Your Right To Appeal

Health care and the processing of claim is not a perfected science. Claims get coded incorrectly by providers’ offices, sent with incorrect ID information, or processed incorrectly through benefit plans. For health care consumers, it can take some digging and effort in order to get these matters corrected. Sometimes, it even takes an appeal (or multiple appeals).

Based on a recent article by Money Magazine:

·         15% of health claims are denied

·         14% of denied claims are appealed

·         50% of appeals are successful

As patient advocates for our clients, the McGohan Brabender Customer Care Team acts as the patient advocate – mentioned in section 4 – to help identify errors, craft appeals, and escalate the battle when necessary.

Make sure to check out Money Magazine’s article for more information on your right to appeal!

Get to Know Your Anthem Plan

Just getting started with a new Anthem plan - or want to know more about your existing plan? Then Anthem's interactive video tutorial is a great resource for you! Here you can get a deeper understanding of your plan based on the type of benefits (HSA, HRA, PPO, HMO, EPO)and coverage (individual or family) you have elected!

You can find this video tutorial by going to www.anthem.com/basics, or it can always be accessed on our Video Tutorial page. Make sure to check out our other videos while you are there, too! From e-service tutorials to McGohan Brabender made Anthem application step by step videos to help your new hires or open enrollment employees, we try to ensure that you have the links to everything in one place.

Want to see more of the videos produced by the McGohan Brabender team? Check out the MB Studio page to see some of our team's projects!