Case Studies
High-Cost Bill Review: Out-of-Network Hospital Admission
A member experienced a mental health episode and was taken by ambulance to their local hospital. The Emry team conducted a thorough bill review, determining that the hospital processed an internal
Bill Review and Negotiation: Patient Saves $4,750
A member visited the emergency room but was on a Minimum Essential Coverage (MEC) Plan that lacked hospital coverage. The member faced an $8,000 hospital bill.
Member Cost Avoidance: Rx Prior Authorization
A member required medication for managing their Type 2 Diabetes Mellitus, and their physician prescribed Saxenda. Saxenda was not covered by the insurance plan due to its classification as a weight
Bill Review and Negotiation: Patient Saves $30,000
A member visited the emergency room and required a CT scan and other major medical tests. Following their visit, they were faced with two significant bills, totaling over $38,000.
Pre-Treatment Savings: Imaging
A member with a high-deductible health plan found herself in a challenging situation when her primary care physician (PCP) ordered a CT scan for chronic side pain.
High-Cost Bill Review: Billing Error
Emry identified a billing error and successfully engaged with both the provider and the insurance company to resolve the issue.
Member Saves $77,000 Through Emry’s Hospital Financial Assistance Portal
Emry’s Financial Assistance Portal helped the member access free hospital care by making the qualification and application process for financial aid simple.
From $88,000 to $794: Emry’s Successful Resolution of a Billing Discrepancy Post Surgery
An employee recovering from ankle surgery reached out to Emry, concerned after receiving a statement of benefits (EOB) and a subsequent hospital bill for $88,000. This unexpected financial obligation had left
$33k Unauthorized Care Costs Eliminated for Employee
An employee of an Emry client experienced a mental health episode and was taken by ambulance to a local hospital emergency room. The member was later admitted to the hospital for services over 3 days. Emergency room was covered but hospital was out-of-network and billed $35,400 for services.
Emry Team Appeals Required Out-of-network Surgery Costs for Employee
With no other options in their geography, an employee of an Emry client utilized an out-of-network provider for laparoscopic surgery and was faced with bills large enough to put their family in medical debt.
Medical bill resolution drives $34k savings
An employee of an Emry client was facing a major health battle and was focused on getting healthy – not on whether their cancer specialist was in or out of network. Unfortunately, an out-of-network surgeon was used for their major cancer surgery and the resulting cost was $37,200.00.
CareCost Suite Drives Employee Satisfaction and $5M in Savings
Pre and post-treatment guidance and support for navigating healthcare costs.Emry pro-actively engages employees to reduce cost and complexity across the care continuum.