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advanced advocacy - insurance claims
advanced advocacy - insurance claims
advanced advocacy - insurance claims

Insurance
is for Coverage.
Not Denials.

Advanced advocacy for denied and out of network insurance claims with an 80% overturn success rate.

Find the Right Advocate Blue Cross Blue Shield Plan for Your Needs

Insurance should protect families, not leave them with denials. At Advanced Advocacy Group, we work as mediators and promoters to make sure policyholders get the coverage they already deserve. 

 

With years of experience overturning denied claims, we help people claim their rightful benefits with fairness and clarity.

Advocate Blue Cross Blue Shield – Building Stronger Connections Through Mediation

Here’s the truth: most people don’t know what to say when the insurer denies a claim. They freeze. They think, “Maybe that’s it, maybe I can’t fight this.” We’ve seen it a thousand times. As advocate Blue Cross Blue Shield mediators, we pick up the phone, we draft the letters, and we chase the missing forms.

Sometimes it’s boring grunt work, calling three times in one morning so a claim doesn’t get buried. Other times it’s heavier, like pushing back when they stamp “not medically necessary” on treatment a doctor swears by. We know the language they hide behind, and we cut straight through it.

This isn’t about beating the system. It’s about making the coverage you already paid for actually show up when you need it.

BlueCross BlueShield Patient Advocate – Guiding Members with Care and Clarity

A denial letter looks official. Pages of jargon. Half of it feels like it was written to make people give up. That’s where a Bluecross Blueshield patient advocate comes in. We explain in plain words: here’s what it means, here’s what you can do, here’s the timeline.

We usually break it down like this:

  • Read the denial word by word, no skimming.

  • Pull together doctor notes, lab results, and hospital records.

  • File an appeal with deadlines in mind (because they’ll stall if you let them).

  • Keep calling until a real human answers, not just the hold music.

  • Update clients so they don’t sit awake at night wondering what’s happening.

I remember one mother telling us she’d been calling her carrier for weeks with no answer. We stepped in, appealed with the right paperwork, and within a month she held the approval letter in her hand. She cried on the phone. That’s why this work matters.

Promoting Fair Solutions – How Advanced Advocacy Group Supports Communities

Insurance doesn’t stay on paper. It shows up in daily life. Missed treatments mean pain stays longer. Bills stack on the counter, next to grocery lists. Parents cancel appointments because they’re scared of another denial. This is why our mediation reaches further than a single claim.

​Denied Claims

You got billed for services that should be covered by your insurance. We advocate to reverse the denial.

Preauthorizations

You want to get an approval for coverage. We advocate to get you the most out of your policy.

“Two days later,

she was approved for CHOP”

 

My daughter has a rare condition that stumps the many doctors I visited. I was advised to take her to CHOP which would only admit her with insurance approval. Insurance denied it on the basis of “You have to try every doctor in your state before you go out of state.” That’s when we were recommended to AA group. All I had to do was give them the login and passwords to all hospitals she had spent time in and within 5 minutes, they had her records and were on the case, fighting for approval. Two days later, CHOP called to say that she was approved to see a doctor there.

– Mrs. Nichtburg

"We tried for hours and got nowhere."

 

When we were denied 24-hour nursing care for our medically fragile son, we tried to navigate the system on our own. We worked on it for hours and days and got nowhere. Then we came to Advanced Advocacy. Their group is familiar with all the insurance loopholes and they know which department to send which forms to. They know exactly how to go about it -how to ask for approval and when to appeal. They manage to do so seamlessly what seemed so out of reach until then. And of course, the 24 hour nursing we got approved for was a game changer.

– Mrs. Fischer

When we were denied 24-hour nursing care for our medically fragile son, we tried to navigate the system on our own. We worked on it for hours and days and got nowhere. Then we came to Advanced Advocacy. Their group is familiar with all the insurance loopholes and they know which department to send which forms to. They know exactly how to go about it -how to ask for approval and when to appeal. They manage to do so seamlessly what seemed so out of reach until then. And of course, the 24 hour nursing we got approved for was a game changer.

 

– Mrs. Fischer

​"We tried for hours and got nowhere."

"We tried for hours and got nowhere."

 

When we were denied 24-hour nursing care for our medically fragile son, we tried to navigate the system on our own. We worked on it for hours and days and got nowhere. Then we came to Advanced Advocacy. Their group is familiar with all the insurance loopholes and they know which department to send which forms to. They know exactly how to go about it -how to ask for approval and when to appeal. They manage to do so seamlessly what seemed so out of reach until then. And of course, the 24 hour nursing we got approved for was a game changer.

– Mrs. Fischer

When we were denied 24-hour nursing care for our medically fragile son, we tried to navigate the system on our own. We worked on it for hours and days and got nowhere. Then we came to Advanced Advocacy. Their group is familiar with all the insurance loopholes and they know which department to send which forms to. They know exactly how to go about it -how to ask for approval and when to appeal. They manage to do so seamlessly what seemed so out of reach until then. And of course, the 24 hour nursing we got approved for was a game changer.

 

– Mrs. Fischer

​"We tried for hours and got nowhere."

Two Decades of Expertise

Transparent Process

Responsive Team

High Success Rate

Retroactive Coverage

Industry Knowledge

How we earned the Advanced title:

It’s not about reversing a claim.

It’s restoring quality of life.

A 5 year old gets approved

for an electric hand prosthetic so she can lead a productive life.

A 5 year old gets approved for an electric hand prosthetic

A teen with an eating disorder gets approved for inpatient rehab so she can learn to manage her mental illness.

A teen with an eating disorder

An obese dad gets approved for Wegovy shots to prevent his overworking heart from giving way.

An obese dad gets approved for Wegovy shots

A baby gets approved for a Cochlear Implant so he can live his life with the sense of hearing.

A baby gets approved for a Cochlear Implant

It’s not about reversing a claim.

It’s restoring quality of life.

advanced advocacy - insurance claims

A 5 year old gets approved

for an electric hand prosthetic so she can lead a productive life.

A teen with an eating disorder gets approved for inpatient rehab so she can learn to manage her mental illness.

An obese dad gets approved for Wegovy shots to prevent his overworking heart from giving way.

A baby gets approved for a Cochlear Implant so he can live his life with the sense of hearing.

advanced advocacy - insurance claims
advanced advocacy - insurance claims
advanced advocacy - insurance claims

We’ve won claims denied by:

Medicare

Commercial

Insurance

Private

Insurance

Medicaid

It’s not intimidating when you have an advocate.

You shouldn’t have to pay out of pocket for something your insurance is responsible for.

It’s not intimidating when you have an advocate.

You shouldn’t have to pay out of pocket for something your insurance is responsible for.

Helping Families Access Care

Waiting months for an answer drains people. We file appeals quickly, track them, and push until there’s movement. Families should be making dinner, not chasing case numbers on hold lines.

Protecting Patients’ Rights

Policies hide rights behind paragraphs no one reads. We dig them out. We tell clients, “You can push back on this.” Many don’t even know that’s possible. That’s half the battle.

Strengthening Community Health

When people skip care, small illnesses turn big. Kids miss school, workers miss shifts. Communities get weaker. When denials get overturned, more people get treated, fewer emergencies happen, and life runs smoother.

Restoring Trust in Coverage

Insurance shouldn’t feel like a gamble. When we win cases, clients see their policy as more than just paper. It works. That trust keeps people steady, even when health problems hit hard.

We’ve won claims denied by:

Medicare

Commercial

Insurance

Private

Insurance

Medicaid

You shouldn’t have to pay out of pocket for something your insurance is responsible for.

It’s not intimidating when you have an advocate.

It’s not intimidating when you have an advocate.

You shouldn’t have to pay out of pocket for something your insurance is responsible for.

Why Choose Advanced Advocacy Group as Your Trusted Mediator and Promoter

We don’t take every case. If there’s no chance, we say so. That honesty matters. But if there’s a way forward, we fight for it.

Seventeen years taught us the shortcuts that don’t work, the rules insurers try to bend, and the exact wording that forces them to respond. We’ve recovered millions in approvals and helped thousands of policyholders. But the part clients remember most isn’t the dollar figure, it’s the relief when the fight is finally over.

Our Mediation and Advocacy Services – Bridging Gaps for Better Outcomes

We don’t promise miracles. We promise to work. And work means showing up for every part of the process that overwhelms people.

  • Preauthorizations: Getting the yes before care starts.

  • Appeals: Filing cases that can’t be brushed aside.
    Confidentiality: Keeping every detail private, no exceptions.

  • Compliance: Following the rules so insurers can’t twist them back.

  • Connections: Using the network we’ve built over the years to speed approvals.

A client once told us, “You’re the first people who called me back the same day.” That’s not flashy, but it’s real. Sometimes that alone makes people breathe easier.

We ensure that they insure.

$3.4 M

Dollars in Insurance Approvals

10,458

Policy Holders Assisted

17+

Years of winning claims

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