Jessica Mendoza
๐ค SpeakerAppearances Over Time
Podcast Appearances
In the process of appealing, is there any way to know, like, who or what kind of doctor reviewed your claim? Do a lot of people know who denied their claim?
In the process of appealing, is there any way to know, like, who or what kind of doctor reviewed your claim? Do a lot of people know who denied their claim?
It can be a really dizzying experience trying to figure that out. For Erin, dealing with such a dizzying experience, she wanted to find other people who could help her decide what to do next. At the time, she worked at a communications company that helped healthcare systems like hospitals. So she started making calls to her contacts in the industry.
It can be a really dizzying experience trying to figure that out. For Erin, dealing with such a dizzying experience, she wanted to find other people who could help her decide what to do next. At the time, she worked at a communications company that helped healthcare systems like hospitals. So she started making calls to her contacts in the industry.
It can be a really dizzying experience trying to figure that out. For Erin, dealing with such a dizzying experience, she wanted to find other people who could help her decide what to do next. At the time, she worked at a communications company that helped healthcare systems like hospitals. So she started making calls to her contacts in the industry.
She called nonprofits and healthcare agencies, anyone she could think of that might be able to help. Her detective work led her to a company that was still in the process of starting up, called Claimable. Its founder, Waris Bokhari, decided to help Erin in her fight. The plan? To take her father's story public. Together, they produced what they called a public appeal.
She called nonprofits and healthcare agencies, anyone she could think of that might be able to help. Her detective work led her to a company that was still in the process of starting up, called Claimable. Its founder, Waris Bokhari, decided to help Erin in her fight. The plan? To take her father's story public. Together, they produced what they called a public appeal.
She called nonprofits and healthcare agencies, anyone she could think of that might be able to help. Her detective work led her to a company that was still in the process of starting up, called Claimable. Its founder, Waris Bokhari, decided to help Erin in her fight. The plan? To take her father's story public. Together, they produced what they called a public appeal.
In it, they laid out Ed's medical history, along with research supporting the treatment his doctors recommended. Essentially, it was an open letter to Anthem, making the case for why it should pay for her father's transplant. And it took a lot of time. While she worked, Erin's mom would come by with food and take her dog for walks.
In it, they laid out Ed's medical history, along with research supporting the treatment his doctors recommended. Essentially, it was an open letter to Anthem, making the case for why it should pay for her father's transplant. And it took a lot of time. While she worked, Erin's mom would come by with food and take her dog for walks.
In it, they laid out Ed's medical history, along with research supporting the treatment his doctors recommended. Essentially, it was an open letter to Anthem, making the case for why it should pay for her father's transplant. And it took a lot of time. While she worked, Erin's mom would come by with food and take her dog for walks.
Ed reviewed everything. And together, he and Erin made his case in The Appeal, which was 60 pages long. In it, Ed talks about how helpless he felt. He says the various doctors who denied his claim made up a, quote, Ed sent his public appeal to the CEO and Board of Directors of Elevance, the parent company of Anthem, in early July.
Ed reviewed everything. And together, he and Erin made his case in The Appeal, which was 60 pages long. In it, Ed talks about how helpless he felt. He says the various doctors who denied his claim made up a, quote, Ed sent his public appeal to the CEO and Board of Directors of Elevance, the parent company of Anthem, in early July.
Ed reviewed everything. And together, he and Erin made his case in The Appeal, which was 60 pages long. In it, Ed talks about how helpless he felt. He says the various doctors who denied his claim made up a, quote, Ed sent his public appeal to the CEO and Board of Directors of Elevance, the parent company of Anthem, in early July.
He also sent it to the media, the governor of Missouri, and the secretary of the Federal Department of Health and Human Services. Because Ed had exhausted all his appeals with Anthem, the company had no obligation to respond. So Aaron, Ed, and their family just had to wait and hope. And then, in mid-July, Ed got an email saying the insurance company had overturned its denial.
He also sent it to the media, the governor of Missouri, and the secretary of the Federal Department of Health and Human Services. Because Ed had exhausted all his appeals with Anthem, the company had no obligation to respond. So Aaron, Ed, and their family just had to wait and hope. And then, in mid-July, Ed got an email saying the insurance company had overturned its denial.
He also sent it to the media, the governor of Missouri, and the secretary of the Federal Department of Health and Human Services. Because Ed had exhausted all his appeals with Anthem, the company had no obligation to respond. So Aaron, Ed, and their family just had to wait and hope. And then, in mid-July, Ed got an email saying the insurance company had overturned its denial.
Anthem would pay for the transplant.
Anthem would pay for the transplant.
Anthem would pay for the transplant.