Restoring Coverage and Calm

Challenge

When an insurance premium payment failed to process, a client’s coverage unexpectedly lapsed—right as she was due for a refill of a specialty medication essential to her care. The pharmacy processed the prescription as self-pay, billing her more than $9,000 out of pocket.

Solution

Emry’s advocates immediately took charge, contacting the insurer, provider, and pharmacy to correct the lapse and secure manufacturer copay assistance. The full charge was reimbursed to the client’s credit card. When a new prior authorization issue arose the following month, our team expedited the approval to ensure uninterrupted treatment—all without requiring the client to make a single phone call.

Outcome

Coverage reinstated. Medication uninterrupted. $9,000 recovered—and countless hours saved untangling a complex billing error.

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Even when everything should be covered, billing errors happen. Emry Concierge makes sure they don’t become your burden.  Let’s talk.

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