claim denials
Insurance Said No. An Umbra Advocate Overturned It.
An insurance claim denial cut off care a young man had relied on for 18 years. His family had already appealed and lost. Then they came to Umbra. A lifetime of care, ended overnight For most of his life, a young man with a complex genetic disorder relied on in home nursing care to stay…
Read MoreMeet Patient Advocate, Caro Ruiz
Caro Ruiz is a patient advocate with Umbra Health Advocacy who specializes in health insurance. Over more than 20 years inside the health insurance industry, she held leadership roles at some of the largest health plans in Massachusetts, including Blue Cross Blue Shield of Massachusetts, Tufts Health Plan, and Point32Health. Today, she uses that insider…
Read MoreMeet Amanda DiGiovanni, OTD, BCPA
Amanda DiGiovanni, OTD, BCPA, is a patient advocate with Umbra Health Advocacy and a Doctor of Occupational Therapy with more than 25 years of experience. She is also a Certified Aging in Place Specialist and holds an Executive Certification in Home Modifications, so she can set up a home to work for someone with disabilities…
Read MoreShould You Be Worried About AI in Health Insurance Claim Reviews?
Insurance claim reviews are increasingly being done by Artificial Intelligence. While AI can speed up decisions and lower costs, the many people are worried about how it’s being used and whether it’s getting the right results. Insurance Claim Denials Increasing Insurance claim denials are going up. A 2023 STAT News investigation showed that UnitedHealthcare denied…
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