Funding Advisors Claims Recovery

Recover funds for first‑responder departments.
Reinvest in animal rescue, community care and disaster recovery.

[Funding Advisors Claims Recovery @FACR_WW13]

@PaulHFlowersJr We've found that no matter how tight the packet is with supporting evidence, they will find a way to determine something is missing. What helps most is not giving up - that's what they're counting on. #claimdenial #priorauth #fixpriorauth

[Funding Advisors Claims Recovery @FACR_WW13]

@PaulHFlowersJr Thank you and correct! So many don't know their rights. Some IR's are better than others. Good ones review the entire packet. Unfortunately less professional simply uphold based on the exact same info provided by the payer. We're dealing with the latter #C2C

[Paul H. Flowers Jr. @PaulHFlowersJr]

@FACR_WW13 Really useful. Most people don't know an upheld denial goes to an independent reviewer automatically. People in employer plans have external review rights too, and few ever use them. How often do you see denials overturned at that stage? #MedicareAppeals #ClaimDenials

[Funding Advisors Claims Recovery @FACR_WW13]

Facing a Medicare Advantage denial? Free help:

📞 1-800-MEDICARE (1-800-633-4227)
📞 Your state SHIP (in NY: HIICAP, 1-800-701-0501)
🌐 Center for Medicare Advocacy @CMAorg
🌐 Medicare Rights Center @medicarerights

You don't have to fight it alone.

#MedicareAdvantage

[Funding Advisors Claims Recovery @FACR_WW13]

When a Medicare Advantage plan upholds its own denial, the case automatically goes to a federal independent reviewer.

Since May 1, 2026, that's C2C Innovative Solutions.

Deadlines: 72 hours expedited, 30 days standard pre-service.

https://t.co/QLKBC0tExQ

#MedicareAppeals

[Funding Advisors Claims Recovery @FACR_WW13]

In 2024, Medicare Advantage insurers fully or partially denied 4.1 million prior authorization requests.

Only 11.5% of those denials were appealed. Of the appeals, 80.7% were fully or partially overturned. (KFF)

https://t.co/DBmhrY4D8M

#MedicareAdvantage #PriorAuth

[Funding Advisors Claims Recovery @FACR_WW13]

Pattern #1 in the Medicare Advantage loop: impossible deadlines.

The plan demands medical records same-day or in under 24 hours. Then it denies for "missing information" it never gave time to send.

Full story: https://t.co/fMRz5C61DZ

[Funding Advisors Claims Recovery @FACR_WW13]

12/12
If a Medicare Advantage plan did this to you or someone you love: you’re not alone.

Document everything. Call 1-800-MEDICARE, your state insurance regulator, your members of Congress.

Full story: https://t.co/o1Y6uLnsRt

@TheBuffaloNews @WGRZ @news4buffalo @WKBW

[Funding Advisors Claims Recovery @FACR_WW13]

1/12
A 67-year-old Western New York man needs spine surgery.

His Medicare Advantage plan denied it. The federal “independent” reviewer denied it. His appeal to a judge, filed Sept 24, still isn’t docketed.

So he canceled the surgery himself. Here’s why 🧵

#MedicareAdvantage

[Funding Advisors Claims Recovery @FACR_WW13]

11/12
We’re asking, plainly:

1) Docket and decide the expedited ALJ appeal.
2) Stop pointing patients to an appeal that doesn’t move.
3) Honor care the operating surgeon says is medically necessary.

@UHC @CMSGov @MedicareGov @NYDFS @RepTimKennedy
#FixPriorAuth

[Funding Advisors Claims Recovery @FACR_WW13]

Hang in there CA pups...#Wegotyourback 👊 Thank you @joey_tuccio and all the #heroes on the ground 👏

[Wellness Wishes @WellnessWishes]

Breeding conventions suck, and for about 95% of the dog population out there totally unnecessary. #EpicFail

[Funding Advisors Claims Recovery @FACR_WW13]

#Wegotyourback #Snuggles 🐶

[Wellness Wishes @WellnessWishes]

#SaveSnuggles 8 months. Really @pimacountyaz #Enough