topDOCS-w-RMI
April 2010 

  Stuck in Insurance Limbo?

In This Issue
Insurance Rescue
Avoid Paying High Insurance Premiums
RCM's Success with Unpaid Claims
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Uber Complex patients are poorly understood by the insurance industry. Often this results in higher premiums or even outright declines when applying for new insurance, or the denial of payment for (what the insured perceives are) valid claims.

Insurance Rescue

Being declined by an insurer or paying abnormally high premiums are difficult to accept, but are tolerated because insurance is a necessity. Now there is an option.
 
INSURANCE RESCUE is a very important, effective and timely service that Rupert Case Management has been providing for clients throughout Canada for the last decade.
 
Avoid Paying High Insurance Premiums 
A client had been paying very high premiums for over ten years because of a heart attack he understood that he had had in his early forties. RCM's review of the hospital records indicated that he had never had a heart attack.
 
RCM's next job will be to generate new medical evidence to prove to the insurers that this client's heart is normal. The results of his cardiac MRI and CT angiogram will be the evidence that he needs to pay much lower premiums.
RCM's Success with Unpaid Claims
Unpaid claims are another source of angst for complex patients, especially when the patient has been paying insurance premiums for many years and perceives the claim to be valid.
 
When there is inadequate medical evidence to support the claim, RCM's job is to generate hard medical evidence.
 
INSURANCE RESCUE involves organizing expert medical opinions and diagnostic tests communicated in highly technical jargon to meet the specific requirements of the insurance policy. Our job is to convince the insurer's medical adjudicators and senior claims persons of the relevance of these new findings.
 
RCM has immediate access to these expert opinions through RCM's proprietary TOPDOCS CANADA TM network of over 1340 doctors in over 100 subspecialties.
 
Last week, we received an impressive fruit bouquet from an appreciative client who recently received his large cheque for a previously unpaid critical illness claim. He and his family are very happy that RCM came to the RESCUE.
 
Contact Us 
 
If you or a family member, an associate or an employee are in insurance limbo and want to start the RESCUE   
 
call  1 800 620 7551 
 
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Raymond Rupert MD. MBA.
 
Founder/Medical Director
 
 
 
     
                                                            
 
                                                        
              
   
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