You trust the experts with your health. Shouldn't you have an expert to maximize your health insurance benefits?
DL Health Claim Solutions was founded by Denise Sikora is July 2005. Denise has over 10 years of experience working with insurance companies and medical providers to address unpaid medical bills as well as an additional 10 years of experience in a medical lab environment. This combined expertise ensures that claims are coded and filed correctly the first time and provides clients with the industry-insider expertise that can get valid but rejected claims resolved and paid.
Denise is dedicated to staying current with medical bill filing procedures and regulations. She is an active member of the American Association of Professional Coders, where she participates in their on-going education that keeps her ahead of industry changes. Denise was invited to join the Alliance of Claims Assistance Professional, a prestigious peer resource group that collaborates with each other to discuss the most complex and difficult of claims. Her industry knowledge is also supported by an Associates Degree in Medical Technology.
Specializing in writing successful insurance appeal letters, Denise has the resources and knowledge that can take a claim beyond the insurance carrier level and reach resolution at the plan trustee or state level when necessary. Denise personally works with each staff member to ensure the highest quality service and dedication to each client.
She can be reached at (732) 672-2717.
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Rose had unpaid medical bills from out of state care.
DL Health Claim Solutions instructed her doctor in correct medical coding and she was able to get reimbursed for most of the $15,000 she paid out of pocket.
Joyce & Jim gave birth to premature twins while visiting family in another part of the state. Most of the babies' care was out of network and the bills were submitted without the mother's name on the claim. Therefore the insurance company couldn't identify them and they denied payment for $50,000 worth of bills for which the parents were being billed.
DL Health Claim Solutions, LLC contacted the appropriate people in the doctor's billing office and had them resubmit all of the claims with the correct information. All of the claims were then paid and the family was only responsible for their deductibles totaling about $3000.
John was seeing an out of network doctor who did not submit any medical claims on his behalf. Over the course of 2 years he had paid out about $13,000 and had never received reimbursement from his insurance.DL Health Claim Solutions, LLC contacted the doctor to get the codes and amount charged, and submitted all of the claims to the insurance. John received back $4000, which was the maximum benefit allowed for the services provided.
