Adria Goldman Gross

Adria Goldman Gross, CEO of Medwise Insurance Advocacy, is a renowned figure throughout the country for her unique talent as a Medical Claim Advocate, dealing with complex medical billing put forth by the interface of the health care delivery system and insurance market place.

Adria has 30 years of experience in the insurance and advocacy field.  She uncovers discrepancies in diagnostic or procedure coding, finds loopholes through which insurance companies attempt to deny claims, and helps attorneys, individuals and families resolve medical claim matters, usually reducing medical bills and liens.  She is a hero to her clients and she makes lawyers “Super Heros” to theirs.

With her background in the insurance industry, Adria brings to her work a depth of knowledge that few others have. She started her own business in 2007, and, in spite of her own health issues, has grown that business and helped many clients who have been overwhelmed by their health care issues. Ms. Gross worked for two health insurance companies and now she uses that knowledge to save clients big money.  She has achieved extraordinary results for her clients by working out highly beneficial arrangements for those that have exhausted all other options.  Ms. Gross is the co-author of “Solved! Curing Your Medical Insurance Problems” and “Multi Payer Medicine Nightmare Made in the USA”, endorsed by Ralph Nader.

Adria has saved her clients in excess of millions of dollars annually and received well-deserved accolades for her professional accomplishments, community leadership, and passion for service, ranging from the 2008 Insurance Professional of the Year Award (Insurance Professionals of Orange County, NY), to the 2009 Pinnacle Leadership Orange Award, to the 2011 Volunteer of the Year Award (Mental Health Association of Orange County) to being recognized as a “Woman of Achievement” in 2013 by New York’s WCBS Newsradio 880, in 2016, named The Advocate by Good Housekeeping and in 2023 received Insurance Professionals of NYS Quarter Century Club Award.

Ms. Gross is available to lecture on the following topics and more:

  • The importance of knowing patient rights
  • Understanding your health insurance policy, what is covered and what is excluded.
  • 2 midnight/ 3 midnight rule
  • LTC Coverage issues
  • Surprise Bill Act
  • Medicare Advantage Plans
  • Deciphering a medical bill’s procedure codes to determine if it is correct
  • Ways to save on prescription medications
  • Inpatient vs. Outpatient/ Under Observation