Our Team
At FixMyClaim, we understand that navigating the world of insurance claims can be a daunting and overwhelming task. That’s why we pride ourselves on having an expansive knowledge of many different types of insurance claims. Our expertise ranges from medical and dental claims to auto and workman’s compensation claims, and we have even delved into the complex world of pharmacy claims.
However, our dedication to helping those in need doesn’t stop there. When insurance coverage was expanded in 2008 with the Mental Health Parity and Addiction Equity Act and the Affordable Care Act, we recognized the need for specialized support in the area of mental health and substance abuse treatment claims. We shifted our focus to include these types of claims, and we are proud to have helped countless individuals receive the coverage they deserve for these critical services.
But our commitment to our clients doesn’t end with claims management. Over the years, we have provided revenue cycle management for auto and workman’s compensation claims and have conducted hospital aging report and credit balance audits. We have even created our own claim and denial management software, which has been utilized by several large hospital systems.
No matter what type of claim you are fighting, we have the breadth and depth of experience to help you. Our team of experts is dedicated to providing you with the support and guidance you need to navigate the complex world of insurance claims. We understand that every case is unique, and we approach each one with a personalized, compassionate touch.
At FixMyClaim, we are more than just a claims management company. We are a partner in your journey to receive the coverage and care you deserve. Let us help you today.
Executive Team
Our executive team at Denials Management has been experts in the industry for over 30 years, with our President Mary Covington having over 50 years of experience in the healthcare field.
Intake Team
Our intake team plays a crucial role in assessing insurance coverage and reviewing medical claims denials and documentation. Our team of experienced professionals will gather all necessary information and documentation to determine the best course of action for your case.
Appeals Team
Our appeals team will work tirelessly to ensure that your appeal is filed correctly and in a timely manner. They will gather all necessary information and documentation, review your case thoroughly, and craft a strong argument for why your claim should be approved. Our appeals team will represent you throughout the appeals process, ensuring that you are well-informed and supported at every step.
Utilization Review Team
Our utilization review team will conduct a comprehensive review of your medical records and the proposed treatment plan to determine the appropriateness and necessity of the care. They will assess whether the treatment plan meets the standards of medical necessity and is consistent with your medical history and current condition. This information is then used to support your appeal and demonstrate the medical necessity of the care.
Why Choose FixMyClaim
FixMyClaim, formerly known as Denials Management Inc. and Claims Management, Inc., was founded in 1990 by Mary C. Covington, a former insurance company employee turned patient advocate. Mary’s experience working with insurance companies and helping patients obtain coverage for life-altering injuries inspired her to start Denials Management to help individuals navigate the complex world of healthcare insurance. Over the years, the company has expanded its services to include policy reviews, medical billing assistance, claims management, administrative appeals support, and consultation services for both providers and patients.
What sets FixMyClaim apart is the expertise and knowledge of its staff. The company’s service experts are broken into teams, with the Appeals Team consisting of writers from different backgrounds, including journalists, copywriters, and grant writers. The Utilization Review Team is made up of clinicians with different types of licensure, and the company also has Clinic Social Workers and Certified Mental Health Counselors. This diversity of specialties allows FixMyClaim to assist many people in many different situations.
In addition to its expertise, FixMyClaim has won the Best in Salt Lake Award twice and is a member of the National Association of Women Business Owners and Alliance of Professional Health Advocates. The company also supports several charitable organizations, including the Out of Darkness Suicide Walk, Make-a-Wish Foundation, and the Ronald McDonald House, where the team donates their time to assist families with their insurance questions.
At FixMyClaim, the focus is on giving back and helping the community, just as they help their clients navigate the often-frustrating world of healthcare insurance. The company’s proven track record of success, combined with its commitment to making a difference, make FixMyClaim the leading health insurance and medical billing advocate option for those in need.