I would like to thank Patient Navigator for holding our hand during an arduous journey that lasted more than one year following an emergency cardiac surgery for my father. Rick Pugach was our primary support system in helping to resolve multitude of insurance claim issues, many of which were overly complex on account of being out-of-network. There were so many moving parts he managed: – Oversaw reprocessing and payment of multiple denied physician bills through insurance. – Worked with insurance company to reverse denial of medical necessity for helicopter transport. – Worked with insurance company to reverse denial of medical necessity for extended hospitalization due to hospital-acquired infection. – Prepared and submitted a complaint to the Virginia Bureau of Insurance to help resolve outstanding issues when disagreements could not be resolved any other way. – Last but not least, negotiated settlement with one service provider to (very) substantially reduce balance owed. I highly recommend this service to anyone caught in the complex maze of medical insurance claims.