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HEALTH INSURANCE RESTORATION PROJECT
A Revolution in Payment Fulfillment
Who We Are
H.I.R. ProjectHealth Insurance Restoration
Project is a nonprofit organization that PAYS monthly health insurance premiums for Marketplace Exchange patients.
These patients have stopped paying their monthly premiums, received medical care, and had their health claims denied due to the lack of premium payment.
Our Story
What is ObamaCare? ObamaCare is the unofficial
name for The Patient Protection and Affordable Care Act, a health reform law signed on March 23, 2010
Health Insurance Marketplace (HealthCare.Gov) where Americans can purchase federally regulated and subsidized Health Insurance during open enrollment.
Examples: HumX (Humana), Molina
Marketplace, Blue Select (BC/BS), Coventry, United, etc.
Current ProcessDenials Collection AgencyWhen a patient stops paying
their monthly premiums they have 90 days to bring their account back up into good status before being dropped by their insurance provider.
From day 31 to day 90 an insurance provider will verify a patients insurance and then DENY your patients healthcare claim due to “Lack of Premium Payment
Send denied claim to collections
Collection agents nationally only return 15% of the owed amount
Can take months to get you payment
HIR Project can help practices recover 3 to 4 times more volume in as little as 1 week.
The H.I.R. Project ProcessWe are a nonprofit organization
that PAYS monthly health insurance premiums for Marketplace Exchange patients.
During a patients 90 day grace period, H.I.R. Project will step in and pay the balance owed to the insurance provider.
Once the patient account is in good standing, H.I.R. Project will notify you of the change in status.
Now you have the ability to resubmit the patient claim for payment
Next StepsBenefits Contact InfoFree Consultation on you
current denied claims Fill out our Business Associate
Agreement We will evaluate the status of
your current claims. Time
On average we can have you resubmitting your claim within 48 hours
Money HIR Project can help practices
recover 3 to 4 times more volume
Please visit us at:www.HIRProject.
orgEmail us at:
Call us at:(561) 571-2174