Select Page

Real Inquiries

“My doctor referred me to this specialist for surgery. Do I have to use the specialist he sent me to see?”

OnPulse Response: No!

Here’s What We Did:

Our team saved this client both money and time by doing research on their behalf. First, one of our billing and claims experts reviewed this client’s insurance policy coverage. A Health Assistant researched and validated credentials for the recommended provider, and also sourced two additional, qualified providers. Next, our team requested prices from all three providers and created a price comparison analysis for the client. Our team presented the client with the provider options, explaining each of the provider’s qualifications and prices. Finally, the client was able to make an educated decision and chose the best provider for their care and their budget.

“I’m paying cash for this service. Can I still file a claim with my insurance carrier? My provider didn’t give me a bill.”

OnPulse Response: Yes!

Here’s What We Did:

An OnPulse Billing Assistant reviewed the client’s insurance policy coverage. Then we obtained medical records and our billing experts created a proper bill for the services. Our billing team also created an insurance claim and submitted it to the insurance carrier on behalf of the client. The Billing Assistant was persistent and followed up on the status of the claim, providing updates to the client along the way. As a result, the claim was successfully processed and the client was reimbursed in accordance with their insurance coverage.

“Is it necessary for me to pay this much for my medicine?”

OnPulse Response: No!

Here’s What We Did:

Our Health Assistant helped this client secure more affordable medications. We researched and recommended alternative medication sources, such as mail-order programs, generic prescriptions, cash-pay options, goodRx coupons, and discount prescription programs. The Health Assistant did all the research and discussed the options with the client, who was then able to secure the medicine they needed more affordably.

“I don’t know where to go from here. My providers aren’t listening to me. Can you help me?”

OnPulse Response: Yes!

Here’s What We Did:
First, our Health Assistant talked with the client, obtained their medical history, and listened to their description of the symptoms they were experiencing, as well as their complaints about previous care. Our Health Assistant contacted the client’s former care providers and requested their medical records. Next, the OnPulse team reviewed the medical records and held a round-table clinical team discussion and created a plan of care. Then our Health Assistant connected with the client and explained the details of the plan, including which providers would be involved, proposed treatments, and possible outcomes. The client was happy with the plan they received and agreed to move forward with the team recommendations. Finally, the Health Assistant provided the client with new referrals to curated, qualified clinicians who were the best fit for the client’s needs.

“Can you find a new primary care doctor for me?”

OnPulse Response: Yes!

Here’s What We Did:
First, one of our Health Assistants talked with the client and discovered the criteria they were looking for in a new physician. Next, we researched qualified providers and called their offices. The OnPulse Health Assistant confirmed the providers were accepting new patients, and then gauged if there was a good fit between the patient and the providers. Once we identified the physicians who best matched the patient’s needs and requests, the Health Assistant presented physician recommendations to the client and discussed the different provider options with them. Once the client decided which doctor they wanted to visit, we secured a new patient appointment on their behalf.