Nonprofit ยท Patient Advocate Foundation
Patient Advocate Foundation case management
Free one-on-one help from a case manager who can work on insurance denials and prior authorizations for patients with a serious or chronic condition who meet the program's rules. Intake is by phone and new cases are limited each day.
Know before you go
It is free, but only for people who meet its rules: a confirmed serious health condition (or testing for one); active treatment, treatment starting within 60 days, or treatment that ended in the last 6 months; U.S. citizen or permanent resident; treated in the United States or a U.S. territory. The page says the program limits new cases each day, so you may be asked to call back the next day. The page describes case management, not legal representation.
- Cost
- Free to eligible patients and families (as the page states)
- Where
- Nationwide
- How to start
- Call 1-800-532-5274 and say what is happening. A patient, a caregiver or a health care provider can ask for help. Check the page for current hours.
- Phone
- 1-800-532-5274, as printed on the provider's page
- Have ready
- Your diagnosis and the dates of your treatment; Your insurance card and plan name; The denial letter or Explanation of Benefits; The name and phone number of your doctor's office
Where this comes from
- Provider
- Patient Advocate Foundation
- Source we read
- https://www.patientadvocate.org/connect-with-services/case-management-services-and-carelines/
- Date we read it
- . This is not a fresh check.
- Date the provider printed
- Not displayed
- What we checked
- We read the provider's public page. We have not verified availability, eligibility or outcomes for any individual.
Other starting points
- Program or service
1-800-MEDICARE: talk to a person about Medicare
The Medicare phone line and live chat, open all day every day. Staff can point you to the right step for a complaint, and can pass an unresolved complaint to the Medicare Beneficiary Ombudsman.
From Medicare (Centers for Medicare & Medicaid Services)
- Program or service
American Cancer Society 24-hour helpline
A phone and chat line staffed around the clock by cancer information specialists who answer questions and connect you to services. It is an information and referral line, not an appeals service.
From American Cancer Society
- Program or service
An Arm and a Leg: First Aid Kit
An archive of articles and starter packs from the podcast An Arm and a Leg, including a starter pack on what to do if you are in collections for medical debt. General reporting on health care costs, not appeal steps.
From An Arm and a Leg