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1 Medical Claims Made Easy Liz Boardman – December 6, 2009

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Page 1: Elizabeth Boardman Pitchv2

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Medical Claims Made Easy

Liz Boardman – December 6, 2009

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Medical Claims Made Easy

Are medical claims bogging you down?

Is Medicare confusing you?

Do you have trouble understanding your insurance coverage?

If the answer to any of these questions, is yes, please call us at 1-800-E-Claims

Medical Claims Made Easy can help!

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What can Medical Claims Made Easy Do for YOU:

Medical Claims Made Easy can provide a host of Health Insurance Claims Management Services including:

Answer your questions about insurance coverage and explain Medicare and Medicaid

Complete claims filing

Coordinate benefits

• Resolve any eligibility issues

• Safeguard against unpaid medical bills

• Assist providers in obtaining authorizations

• Ensure claims have been paid according to fee schedule

• Consult on your behalf with hospitals, doctors, insurance companies, Medicare and Medicaid

• Resolve problems associated with the medical claims process

• Negotiate with providers

• Help with appeals claims

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Medical Claims Made Easy Experience:

Medical Claims Made Easy Staff has both professional and personal experience with claims processing

• Our consultants have personal experience with claims processing by assisting catastrophically ill family members with their claims and communications with their providers.

• Our consultants have professional skills from years of experience as benefits administrators in major financial firms throughout New York City.

• Our consultants have compassion, patience and understanding while working with you thorugh this process.

Through research, Medical Claims Made Easy has found that according to Medical Economics:

Hundreds of thousands of medical claims go unpaid every year

Millions experience delays in medical claims

Thousands receive claim denials

Most need to call their insurance carriers regarding individual claims

Many experience excessive time on hold when calling their insurance carrier

The Wall Street Journal Centennial Survey places medical claims processing #7 out of 19 things that annoy us the most as consumers.

• Medical Claims Made Easy will take all necessary steps to complete our client’s claim.

• When necessary we will make noise on our clients behalf

• Develop a paper trail and follow-up to whatever level is necessary to settle their claim.

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Medical Claims Made Easy is Unique:

Medical Claims Made Easy is a Pioneer in Personal Medical Claims Assistance

• We don’t have any competition in this area of business.

• Our personal handling of individual’s accounts gives our customers a level of service which doesn’t currently exist.

• We provide one-stop service to handle all your medical insurance needs.

• Our dedicated consultants are medical billing professionals who are well-versed in medical terminology and know how to deal with insurance carriers and health care providers.

• Insurance companies are counting on a certain number of primary and secondary medical claims not being followed up by the consumer. This is money out of your pocket and earning interest in their bank accounts.

• Medical Claims Made Easy is here to make sure you’re not one of those people.

• Millions of dollars in unclaimed medical benefits are lost every year. For a nominal fee, Medical Claims Made Easy will provide confidential, affordable, convenient and reliable service to diligently follow-up your outstanding medical claims.

Medical Claims Made Easy has researched the Queens New York City Community Service Centers and found:

Thousands of Elderly have no one to help them with their medical claims

Most Seniors do not understand how their medical insurance works

The level of frustration with processing medical claims makes people give up before completing the process

Most would be happy to pay someone to help them with their medical claims

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Medical Claims Made Easy Target Market:

Medical Claims Made Easy Target Market

• Senior Citizens in New York City Area – 900,000 +

• Senior Citizens in Queens alone – 90,000

• 13% in Woodside/Sunnyside – 11,700

• 10% of the market share would still give me 1,170 seniors to target initially

Senior Church Groups in Sunnyside and Woodside Queens, NY

Woodside Nursing Home, Queens, NY

Sunnyside Community Center

Sunnyside Gardens Private Park

Political – Anorac Democratic Club

Civil Organizations – Woodside on the Move

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Medical Claims Made Easy Financial Forecast:

Medical Claims Made Easy • Our consultants have 20 years of medical claims experience ensuring customer satisfaction

• 100% Claims processing success

• Low-cost start-up business – Initial start-up costs less than $10,000

• Customer base is growing at 10% per month

• 2010 Expansion plan would include:

$100k cash infusion

Adding 2 consultants (bi-lingual)

2 Additional computers

Upgraded Claims Processing Software

Increased advertising budget

• 2010 Projections are:

Approximately $100,000 Profit first year

Strong financial back-up CEO

Sturdy balance sheet

$100,000 investment

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Medical Claims Made Easy Projections for next three years

• 2011 Expansion plans would include:

IPO infusion of cash

Adding 4 consultants

4 Additional computers

Increased advertising budget

• 2011 Projections are:

$200k cash infusion

$200k profit

$30k advertising

• 2012 Expansion plans would include:

Adding 6 consultants

6 Additional computers

Increased advertising budget

• 2012 Projections are:

$300k profit

$50k advertising

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Medical Claims Made Easy Rates and Contact Info:

Medical Claims Made Easy Rate Info:• Rates: $75 per hour includes but is not limited to:

Preparation of Medical Claims

Conference Call to providers or insurance carriers

Site visits to providers

Internet Searches and research

Record keeping, organization, tabulation

Case Review

• Case Fee: (minimum 5 hours) - $250 (can pay in installments)

• Long Term Fee (minimum 10 hours) - $500 (can pay in installments)

Contact us:• Business Hours 9am – 5pm – Monday thru Friday

• After-hours and weekend Consulting by appointment

• Please contact us for your free consultation – 1-800-ECLAIMS

• Email us at Medicalclaimsmadeeasy.com

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MCME Atlantic City Event

Medical Claims Made Easy Lunch and Information Session

Saturday January 16th

Noon – 3pm

The Taj Mahal Grand Ballroom

Atlantic City, New Jersey

Contact us at 1-800-Eclaims / medicalclaimsmadeeasy.com

Bring us your medical claims and we’ll lead you to the cash.

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MCME Free Seminar on Black Friday

On Friday, November 27th Medical Claims Made Easy hosted a free seminar at the Sunnyside Gardens Community Center

Time: Noon to 3pm

We had 75 people come to the information session

35 people expressed a interest in our service

25 people contracted us for business

Could generate as much as $5k in new business

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Medical Claims Made Easy Advertising

Look for our advertisement on Peace of Mind Daycare’s Website

We are available for free consultations from Monday-Friday 9am-5pm

Just call our toll free number 1-800-E-Claims

One of our medical claims consultants will evaluate your claims and advise you on a plan of action.

1-800-E-Claims or email:

Medicalclaimsmadeeasy.com