At AMHA Advocacy, we are dedicated to helping patients and their families navigate the complex world of insurance reimbursement for care received at non-participating, out-of-network, and international providers who do not accept insurance.
Navigating insurance reimbursement for care at non-participating, out-of-network, or international providers can be overwhelming. AMHA Advocacy is here to simplify the process and support you every step of the way. Here’s how our service works:
Your journey with AMHA Advocacy begins with a free, no-obligation consultation. During this conversation, we learn about your treatment, your provider, and your insurance coverage. If you decide to proceed, we send you an intake package that includes an introductory letter and a patient information form. Simply complete and return the form to us, and our team will review your insurance benefits at no cost, providing you with insights into your potential coverage.
Our experienced advocates carefully evaluate your insurance policy to determine if you have the necessary out-of-network or international coverage. We clarify which services are likely to be billable and explain the process, including our contingency-based fee model. We are transparent about what to expect, and while we cannot guarantee outcomes, we help you proceed with confidence.
Once eligibility is confirmed, we guide you through the onboarding process. Our team works with you and your provider to collect all necessary medical bills, itemized statements, and supporting documentation. We ensure that all paperwork is complete and formatted correctly for insurance submission, minimizing delays and denials.
Our advocates meticulously review your medical records to identify all billable elements of your care. We professionally code your claims using the appropriate medical codes and prepare all required forms. Once everything is ready, we submit your claims electronically to your insurance carrier using secure, compliant systems.
After submission, AMHA Advocacy actively manages your claim. We track its progress, provide you with regular updates, and communicate directly with your insurance company to resolve any issues or requests for additional information. If a claim is denied due to technicalities, we handle corrections and, when appropriate, initiate appeals on your behalf.
If your claim is approved, your insurance company sends the reimbursement directly to you. Once you receive the funds, AMHA Advocacy invoices you for our agreed-upon contingency fee—only if you receive reimbursement. If your insurance pays nothing, you owe us nothing. This risk-free model ensures our interests are fully aligned with yours.
Navigating insurance reimbursement for care at non-participating, out-of-network, or international providers can be overwhelming. AMHA Advocacy is here to simplify the process and support you every step of the way. Here’s how our service works:
We help patients who have paid out-of-pocket for treatment at non-participating, out-of-network, or international medical providers. Many of our clients seek care at alternative or integrative clinics, both in the United States and abroad, and are unsure how to navigate the insurance claims process.
If you have traveled outside your home country for medical treatment or chosen a provider that operates on a cash-pay basis, AMHA Advocacy can help you pursue reimbursement from your insurance policy.
We also partner with clinics, doctors, and healthcare facilities that serve patients on a cash-pay or out-of-network basis. By referring your patients to AMHA Advocacy, you provide them with a valuable resource to help recover insurance funds, making it easier for them to access and continue their care.
AMHA Advocacy was established to help patients and their families navigate the complex issues associated with obtaining insurance reimbursement for their care at non-participating, out-of-network, cash-based providers.
The providers we work with require upfront payment for services. This is where our advocates step in to assist patients. We meticulously assess your medical stay, pinpointing billable elements of your care. We then prepare your medical claims for submission, and our advocates shepherd your claims through the process until a final decision is reached.
With over two decades of experience, AMHA Advocacy fully comprehends the challenges that may arise when trying to secure reimbursement for services associated with “Alternative” care. We understand the intricacies of insurance navigation.
AMHA Advocacy delivers exceptional value-added support to clinics, doctors, and their patients alike.
American Medical Health Alliance (AMHA) Advocacy was established to help patients navigate the complex issues of obtaining medical care from non-participating, out-of-network providers throughout the United States and abroad.
Ready to explore your options for insurance reimbursement?
Our team at AMHA Advocacy is here to help—completely free of charge and with no obligation.
