Summary
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A Medical Claims Professional [also called a Claims Assistance Professional (CAP)] can take the entire claims process off your hands. In addition to doing the work for you, the professional seeks to assure that you don't over pay, and that your insurer doesn't under reimburse you.
Medical Claims Professionals generally work for people who can't or don't want to deal with the paperwork or who need help straightening out a mess of bills.
A Medical Claims Professional does not have to be in the same locale as the patient(s) being assisted. The work can be done anywhere in the country using telephone, e-mail, fax and snail mail.
These professionals are not regulated and seldom licensed. Medical Claims Professionals can work nationwide.
If your claims involve Medicare, be aware that every state offers free assistance to Medicare recipients in sorting through bills, benefit statements, Medigap claims and Medicare coverage. The assistance goes by different names in different states. The generic name for these programs is State Health Insurance Assistance Programs. Contact information can be found at www.shiptalk.org
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