Abrazo Scottsdale Campus

Patient Advocate in Phoenix, Arizona

2.6(256 reviews)
(602) 923-50003929 E Bell Rd, Phoenix, AZ 85032View on Yelp
Abrazo Scottsdale Campus - patient advocate in Phoenix, AZ

Customer Reviews

2.6
out of 5
256 reviews

Based on Yelp ratings

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About Abrazo Scottsdale Campus

Abrazo Scottsdale Campus is part of a large hospital network in the Phoenix area, and patients there deal with all the typical challenges that come with major hospital billing: surprise bills, out-of-network disputes, claim denials after emergency care, and itemized charges that don't add up. Hospital billing is one of the most complex and error-prone areas in American healthcare, and Abrazo is no exception.

We work as independent patient advocates for Abrazo patients and anyone navigating disputes tied to care received at this facility. We're not affiliated with the hospital, which means our loyalty is entirely to you. We review your bills, identify errors, file appeals with your insurer, negotiate with the billing department when appropriate, and make sure you're not paying more than you legally or contractually owe.

Services

Hospitals

How Abrazo Scottsdale Campus Helps You

Our advocacy services for Abrazo Scottsdale Campus patients cover the full spectrum of hospital billing and insurance disputes. We start with a detailed audit of your itemized hospital bill, which often reveals duplicate charges, unbundled procedures, and charges for services that weren't actually provided. We handle insurance denial appeals for hospital stays, emergency department visits, surgical procedures, and inpatient and outpatient care. Emergency visit denials are particularly common after care at large hospitals, especially when insurers argue that the visit wasn't truly an emergency. For patients who received care from out-of-network providers at Abrazo without being informed in advance, we handle No Surprises Act disputes to cap your liability at in-network cost-sharing levels. This is a powerful protection that's still underused because many patients don't know about it. We also negotiate directly with the hospital's billing department for uninsured patients or patients whose insurance has paid and left a large balance. Hospitals regularly discount self-pay balances, and we know how to approach those conversations effectively. Financial hardship applications and charity care requests are another area where we help patients who qualify.

The Appeals Process

We begin with a free consultation to review your situation and figure out what type of dispute or advocacy you need. For billing audits, we'll need your itemized bill, which you can request from the hospital's billing department if you don't already have it. This is different from the summary bill most patients receive, and it's essential for catching errors. Once we have your documents, we review the charges against your medical records and insurance payments, then flag anything that looks incorrect. We prepare a written dispute for the hospital and your insurer if applicable. For insurance denial appeals, we gather your clinical records, denial letter, and plan documents and build an appeal that addresses the specific reason for denial. We submit within your plan's deadline and follow up until we get a resolution. If internal appeals fail, we advise on external review rights and other options including state insurance commissioner complaints when warranted.

Service Area

We serve patients who received care at Abrazo Scottsdale Campus and other Abrazo facilities in the Phoenix metro area. Our services extend throughout Maricopa County and we can assist patients in Pinal County and surrounding areas with billing disputes tied to Phoenix-area hospital care. We work remotely with patients across Arizona who don't need in-person meetings.

Frequently Asked Questions

What's the difference between a summary bill and an itemized bill?
A summary bill gives you totals by category, like room and board or pharmacy. An itemized bill lists every individual charge with procedure codes, which is what you need to spot errors. Always request the itemized version, and if the hospital pushes back, know that you're entitled to it.
Can you help if I've already paid the bill?
In some cases, yes. If we find errors or improper charges in a post-payment audit, we can request refunds or credits. The window for doing this is limited, so the sooner you contact us the better.
What is the No Surprises Act and does it apply to me?
The No Surprises Act is a federal law that limits what you can be charged by out-of-network providers in certain situations, including when you receive care at an in-network facility and weren't told in advance that a particular provider was out-of-network. It also applies to air ambulance services and some other cases. If you got a surprise out-of-network bill after a hospital visit, it's worth having us review whether the law applies.
My insurer denied my ER visit as not an emergency. Can that really be appealed?
Yes, and these denials are frequently overturned. Federal law requires insurers to use a reasonable layperson standard when evaluating emergency claims. If your symptoms were serious enough that a reasonable person would have gone to the ER, the claim should be covered. We handle these appeals regularly and have a good track record with them.
Do you negotiate directly with the hospital?
Yes, when the situation calls for it. For uninsured patients or patients with a remaining balance after insurance has paid, direct negotiation with the billing department is often the most effective route. Hospitals typically have more flexibility than they let on and often accept significantly reduced amounts, especially when financial hardship is documented.
How do I request my medical records for an appeal?
You can request records directly from Abrazo's medical records department, often called Health Information Management. You have the right under HIPAA to your own medical records. There may be a small copying fee. Let us know if you're having trouble getting records and we can help facilitate the request.
What if my appeal is denied internally?
You have the right to request an independent external review, which is conducted by a reviewer not affiliated with your insurer. In Arizona, external reviews are available through the state insurance commissioner for most fully-insured plans. For self-funded employer plans, there's a federal external review process. External reviewers overturn internal decisions more often than people expect.
Can you help with Medicaid or AHCCCS billing at Abrazo?
Yes. AHCCCS billing disputes and prior authorization issues follow different rules than commercial insurance, but they're appealable. We assist with AHCCCS denials and billing questions for patients covered under Arizona's Medicaid program.

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