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Whether you are looking to dispute a medical bill or insurance denial, conduct an audit, or reduce your business’ healthcare costs, MBAA is here to help. We also provide some of the highest quality teaching materials and content around for those looking to become more educated and even certified in the medical bill advocacy business.

Please take a moment to complete the form below and one of our consultants will respond to address your need.


First Name (required)

Last Name (required)

Your Email (required)

Phone Number (required)

Service Needed (required)

Who Are You? (required)

Is the bill In collections? YesNo

What type of bill are you inquiring about? (may select more than one) (required)

Hospital Bill

Inpatient HospitalOutpatient HospitalNursing HomeRehab FacilityBehavorial Health/Mental Health

Provider Bill

PhysicianSurgeonAnesthesiologistLab/PathologyRadiologyOther

Do you have insurance? YesNo


Type of plan: Individual PlanEmployer Sponsored Plan

Insurance Company Name:


(if Employer Sponsored Plan selected)

Name of Employer


Have you setup payment arrangements? YesNo

Has the court served a judgement? YesNo


Have you received any financial assistance or discount?

YesNoPending Response

If you answered Yes (Amount Received)


How much is being told is your responsibility?


What amount was applied to your co-insurance?



How much was applied to your deductible?


Amount of copay or upfront costs if any?


Have you had any communication with the hospital or insurance company?
YesNo


(If Yes may choose more than one)

Written DisputeOral DisputeInsurance Appeal

Have you received a response? YesNo

Your Message (required)

Please only click "SUBMIT" once