HIRProject PP Revised

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HEALTH INSURANCE RESTORATION PROJECT A Revolution in Payment Fulfillment

Transcript of HIRProject PP Revised

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HEALTH INSURANCE RESTORATION PROJECT

A Revolution in Payment Fulfillment

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Who We Are

H.I.R. ProjectHealth Insurance Restoration

Project is a nonprofit organization that PAYS monthly health insurance premiums for Marketplace Exchange patients.

These patients have stopped paying their monthly premiums, received medical care, and had their health claims denied due to the lack of premium payment.

Our Story

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What is ObamaCare? ObamaCare is the unofficial

name for The Patient Protection and Affordable Care Act, a health reform law signed on March 23, 2010

Health Insurance Marketplace (HealthCare.Gov) where Americans can purchase federally regulated and subsidized Health Insurance during open enrollment.

Examples: HumX (Humana), Molina

Marketplace, Blue Select (BC/BS), Coventry, United, etc.

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Current ProcessDenials Collection AgencyWhen a patient stops paying

their monthly premiums they have 90 days to bring their account back up into good status before being dropped by their insurance provider.

From day 31 to day 90 an insurance provider will verify a patients insurance and then DENY your patients healthcare claim due to “Lack of Premium Payment

Send denied claim to collections

Collection agents nationally only return 15% of the owed amount

Can take months to get you payment

HIR Project can help practices recover 3 to 4 times more volume in as little as 1 week.

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The H.I.R. Project ProcessWe are a nonprofit organization

that PAYS monthly health insurance premiums for Marketplace Exchange patients.

During a patients 90 day grace period, H.I.R. Project will step in and pay the balance owed to the insurance provider.

Once the patient account is in good standing, H.I.R. Project will notify you of the change in status.

Now you have the ability to resubmit the patient claim for payment

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Next StepsBenefits Contact InfoFree Consultation on you

current denied claims Fill out our Business Associate

Agreement We will evaluate the status of

your current claims. Time

On average we can have you resubmitting your claim within 48 hours

Money HIR Project can help practices

recover 3 to 4 times more volume

Please visit us at:www.HIRProject.

orgEmail us at:

[email protected]

Call us at:(561) 571-2174