Healthcare advocacy services for families
Our healthcare advocacy services are built around the moments healthcare gets complicated: a Medicare transition, a stalled authorization, a confusing bill. Below, each service is explained the way we’d walk you through it over coffee — in plain language, with no clinical jargon.
01 Medicare Transition Guidance
Turning 65, leaving employer coverage, or switching Medicare plans shouldn’t mean navigating a maze alone. We help you understand your options in plain language, so you can move through your transition with confidence, not confusion.
What's included
- A discovery consultation covering your current coverage, upcoming transition, health needs, and concerns
- Plain-language education on Medicare Parts A, B, C, and D, and how Original Medicare compares to Medicare Advantage
- A personalized question list to bring to plans or a licensed agent, so you know exactly what to ask
- A timeline of your key deadlines: enrollment windows, effective dates, and required steps, in order
- Optional ongoing support through your transition, with check-ins at key deadlines
- A post-transition review so you understand how to actually use your new coverage
Available as a single consultation or ongoing support, whichever fits where you are in your transition.
Official Advocates Consulting is not affiliated with or endorsed by Medicare or the federal government. We provide education only and do not sell insurance plans or enroll clients in coverage.
02 Authorization Assistance
Insurance authorization requirements can stall care and pile on stress at the worst possible time. We help you understand exactly what’s required, what to say, and how to move a prior authorization forward, so delays don’t become a barrier to getting care.
What's included
- A signed HIPAA and insurer-specific authorization allowing us to speak directly with your providers and insurer as your authorized representative
- A clear explanation of the prior authorization process: why it's required, typical timelines, and what your insurer needs to approve it
- A document and information review, so you know what your provider's office needs to submit and what's often missing
- A plain-language breakdown of any denial, including your options for resubmission, appeal, or an alternative treatment path
- A step-by-step action plan for exactly what to do next, whether that's a follow-up call, an appeal letter, or a peer-to-peer review request
- Ongoing support through the full authorization or appeals timeline, with regular check-ins
Official Advocates Consulting provides education and advocacy support. We do not guarantee approval outcomes and are not affiliated with or endorsed by any insurance carrier.
03 Bill Review & Resolution
A confusing medical bill isn’t always the final word. Errors, denials, and underpayments are common, and often fixable. We review your bills and claims line by line, then help you get what’s wrong corrected — whether that’s a coding error, a duplicate charge, or a claim that should have been covered and wasn’t.
What's included
- An itemized bill review checking for coding errors, duplicate charges, and services billed incorrectly
- A claims explanation review comparing your Explanation of Benefits (EOB) against your bill to catch wrongly denied or underpaid claims
- A plain-language breakdown of why a claim was denied or a charge was applied, and what your options are
- A resolution plan with the specific steps to dispute the bill or claim, in order
- Your choice of support level: Coached , where we guide you through the call yourself, or Represented , where we contact the billing office or insurer directly on your behalf
- Follow-through tracking until the bill or claim reaches resolution
Official Advocates Consulting provides education and advocacy support. We do not guarantee bill reductions, claim reversals, or specific financial outcomes, and are not affiliated with or endorsed by any insurance carrier or healthcare provider.
04 Appeal Letter Drafting
When a claim is denied, the right words matter. We draft a written insurance denial appeal on your behalf, laying out your case clearly so your insurer has everything it needs to reconsider.
A single, focused deliverable, often paired with Authorization Assistance or Bill Review & Resolution when a denial is part of a larger case.
Pricing
Discussed on your free consultation
Pricing is based on your specific situation and the level of support you need; you’ll know the cost before anything is agreed to.