Our fee is 10% upon successful reimbursement*
*You pay $0 if we don't win, but that is statistically very unlikely
We've appealed and won against all major carriers
and more!
Medical Specialties
Bariatric Surgery
Gastric bypass, sleeve, or any other kind of bariatric procedure — we'll appeal and get your treatment covered.
Reconstructive Surgery
We recently helped a patient receive in-network coverage for a rhinoplasty procedure.
Yes, even surgeries that are often considered cosmetic can potentially be covered, so long as there's some medical benefit to you.
Any other procedure
With our broad expertise, we will help you get medical necessity denials and in-network coverage on virtually an procedure.
Overturning denials, maximizing reimbursements.
$500k+
in reimbursements
87%+
Success Rate
15+
Insurance Carriers Appealed
Maximal reimbursement requires specialized expertise
As industry experts, maximizing reimbursement is what we do.
With top-tier surgeons usually being out-of-network, reimbursement may drop to 5% of billed charges. We strive to secure in-network reimbursement rates, usually 80% to 100% of the total procedure cost.
Hands off for you, white (punching!) gloves for us.
Beyond providing us with your medical history and information about the treatment you are seeking, there is very little you have to do — we'll call, communicate, and advocate completely on your behalf.
Suade takes care of advocating for you through all levels of your carrier's grievance process, up to litigation if need be (through a private litigator). We keep you informed every step of the way.
A "no" is just a delayed "yes" in our eyes.
Our winning approach
Like a good game of chess, we don't start until we've devised an iron-clad strategy.
01
Coverage Assessment
We'll meet to discuss your desired treatment, logistical challenges you've faced, and outline an action plan tailored to your case.
02
Tailored Advocacy
From the information you provide us, we'll start working on appealing your prior authorization or claim. We appeal your carrier and government agencies. We'll work with a licensed attorney if need be.
03
Successful Outcomes
We'll win together, and get you coverage for your now upcoming treatment. Don't forget to put medical PTO on your boss's calendar.
We making people happy :)
"Navigating against insurance seems infinitely impossible when you just stay on the phone constantly trying to get a clear answer, but Karim has really illuminated the path to almost seemingly too easy."
Arthur T.
"Karim got me reimbursed for double jaw surgery with a world renowned out-of-network surgeon at in-network rates, even though I was on an HMO. He made the impossible, possible".
Anna N.
"Suade worked with my employer's self-funded plan and got them to cover my MMA surgery. I got literally every cent I paid the surgeon back…"
Linda C.
Let's make your surgery a reality.
Schedule a free, no-obligation consultation below.