FAQs

QUESTIONS. ANSWERS.

Q. How do you manage my account?
A. Simply forward your documents by direct mail, fax, or secure email and we will begin working on your case. We will log and track your benefits, claims, and handle any questions that arise.

Q. How does RESOLUTE get involved with my case?
A. After entering into an agreement with RESOLUTE, we will work with you, your insurance company, and your providers to resolve outstanding issues. If you elect RESOLUTE as your authorized personal representative, please allow at least ten business days for your health plan to approve any paperwork.

Q. Who are your typical members?
A. RESOLUTE demographics include individuals, families, Medicare beneficiaries, caregivers, and more. We work with a broad range of insurance companies to reduce your frustration navigating the insurance underworld.

Q. What experience is behind RESOLUTE Health Care Advisors?
A. Employees of RESOLUTE have more than 20 years of “insider” health insurance knowledge, previously working for health plans, insurance companies, and medical provider offices. We are familiar with claims issues, computer programming, and how to navigate the health care system fluently. Our insider knowledge gives us a broader perspective on how to resolve health care issues and establish improved practices.

Q. How can RESOLUTE save me money?
A. RESOLUTE saves its members money in five key areas: 1) insurance policy education; 2) claims filing ; 3) challenging insurance denials; 4) advocating with the Claims Administrator and physician teams; and 5) reconcile claims and invoices for accuracy.

Q. What does it cost to have RESOLUTE review my case?
A. First, contact RESOLUTE for a free consultation. We will evaluate your case and recommend the best possible solution specific to your needs. Client requests often vary by number of plan dependents, medical situation, and ongoing needs.

Q. Why does RESOLUTE choose to be consumer advocates?
A. RESOLUTE is familiar with insurance setbacks and the inadequacy of consumer protections. We understand the complexities of health care and extend our experience to the greater community. Solving health care and medical insurance concerns take time. By transferring these burdens to RESOLUTE, our members are afforded more time to focus on what’s most important to them.

Q. Does my insurance premium cover RESOLUTE consumer advocacy services?
A. RESOLUTE complements your insurance plan by offering benefits education, navigation of health care departments, and claims resolution.

Q. How are RESOLUTE services different than services offered by my insurance company?
A. RESOLUTE advocacy programs are staffed with experienced health care professionals. We are an unbiased partner that understands health care and speak insurance language fluently. We work for you to identify loopholes, navigate internal policies and appeal shortsighted denials.

Q. Can I refer my employer to RESOLUTE?
A. RESOLUTE encourages employers to offer advocacy services to their colleagues. We are confident that our value-added services will make a positive impact to productivity and employee satisfaction.

If we didn’t answer your question here, you can send your question to info@ResoluteHCA.com.
You can also contact us at (877) 847-3992. We look forward to hearing from you.