FAQs

QUESTIONS. ANSWERS.

Q. How do you manage my account?
A. Simply forward your documents by direct mail, fax, or secured email and we will begin working on your case. We will log and track your benefits, claims, and handle any questions that arise. Based on our findings, we let you know how much you owe. We can even pay the balance due for you if you choose to pay with the credit card used to secure your membership.

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 medical providers to resolve outstanding issues. If you elect RESOLUTE as your authorized personal representative, please allow at least five 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 are with a broad range of insurance companies and products; results reduce your burden of paperwork, time on the phone, and 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 seven key areas: 1) provide education on benefits and options; 2) bill review and proper payment determinations; 3) file various types of insurance claims; 4) contact providers and insurance plans to resolve claim problems; 5) challenge insurance denials; 6) track claims and funds to make sure they are accurately processed; and 7) organize health insurance paperwork. Although savings may not always be in actual dollars, our clients are highly satisfied with the results.

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, ongoing needs, and family concerns.

Q. Why does RESOLUTE choose to be consumer advocates?
A. RESOLUTE staff has personally experienced insurance setbacks while being employed in the health insurance industry. We determined that if navigating the health care arena and settling claims issues is difficult as a health care employee, then the struggle must be greater within the community.

Solving health care and medical insurance concerns take time, time away from business and personal lives while adding emotional and financial stress. 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. At this time, your health plan premium does not cover RESOLUTE consulting services. 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, not the insurance company, by identifying benefit gaps, navigating departments, uncovering programming errors, and knowing the right questions to ask.

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

Q. Are discounts available for referring family and friends to RESOLUTE?
A. Referral discounts are available for individual or group members. You may earn up to two free months of service per year after your referral has maintained an active account for at least three consecutive months.

Q. How long does it take to research my benefit plan?
A. Once we receive your benefit plan materials, RESOLUTE is able to have a firm understanding of your health plan options in approximately 72 hours. Variances may be attributed to the type of plan and specific questions or concerns you are experiencing.

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 or (602) 268-0086. We look forward to hearing from you.