Don't navigate the healthcare maze alone.

When a medical bill or insurance denial doesn't make sense, you don't have to fight it alone.

Understanding Benefits. Resolving Bills. Advocating for You.

20–30 minutes · No obligation

Hampton Roads and Southern Virginia

Why clients choose Coastal

  • Experienced 22 years of healthcare billing and insurance experience

  • Independent Works for you, not the insurer or provider

  • Transparent Clear pricing before paid work begins

  • Human You work directly with Lindsey

  • Private Sensitive information handled through secure channels

I need help with my health insurance.

Denied claim, confusing bill, or medical debt? Start here.

I'm helping someone else.

For a parent, spouse, family member, or professional client.

Professional referrals: Refer a client

What is a healthcare advocate?

An advocate holds the hand of a patient resting in a hospital bed

A healthcare advocate works for you—not the hospital or insurance company. Lindsey uses 22 years of experience inside healthcare billing to help you understand your bills, benefits, and denied claims.

What we do

  • Review

    Bills, EOBs, and plan documents.

  • Resolve

    Billing errors, denials, and insurance issues.

  • Advocate

    Calls, appeals, negotiations, and follow-up.

You keep every decision.

We handle the paperwork, phone calls, and follow-up.

Before

On your own

  • A confusing bill

    Codes and charges that don't match what you remember.

  • A denial letter

    Your insurer said no, and the letter doesn't say what to do next.

  • Phone calls

    Hours on hold, passed between departments, starting over each time.

  • Insurance terminology

    Deductibles, coinsurance, prior authorization: a language of its own.

  • Multiple providers

    Separate bills from the hospital, the doctors, and the lab.

  • Uncertainty

    Not knowing what you really owe, or whether to pay it.

After

With Coastal Healthcare Advocates

  • We review the documents

    Every bill, EOB, and plan document, line by line.

  • We identify the problem

    A billing error, a coding mistake, or the real reason for a denial.

  • We contact the right parties

    Your insurer, the billing office, and your providers, on your behalf.

  • We file appeals

    Evidence-backed appeals that cite your plan's own rules.

  • We negotiate when it makes sense

    Corrected charges, a lower balance, or a payment plan you can manage.

  • We follow up

    Through every reply and appeal level, so nothing stalls.

Services

  • Denied claims overturned

    We gather supporting records, prepare an evidence-backed appeal, and follow it through every review level until it's resolved.

  • Get your medical bill lowered

    We contact the provider directly, get inflated balances and errors reduced, and set up a payment plan you can actually afford.

  • Medical Bill & EOB Review

    We compare your bill, EOB, and itemized statement line by line to catch duplicate charges, coding errors, and charges that don't match your care.

  • Medicare or Medicaid claims handled

    We explain what Medicare or Medicaid covers in plain language, file and follow up on claims, and handle denials and appeals on your behalf.

  • Get relief from medical debt

    We find charity-care and financial-assistance programs you qualify for, dispute balances sent to collections, and organize your medical debt into a workable plan.

  • Services for professionals

    Claims and billing support for clients referred by attorneys, care managers, financial planners, and clinicians, with updates to your office as the case moves.

    For professionals

Who we help

  • Individuals and families

    Facing a new diagnosis, a denied claim, or medical debt, and wanting one person who can see the whole picture.

  • Seniors on Medicare

    Help with coverage, supplemental plans, and Medicare or Medicaid denials.

  • Caregivers and relatives

    Managing this for a parent or loved one. We keep the whole family in the loop.

  • Professional referrers

    Attorneys, care managers, and clinicians who need a dependable advocate for the clients they send. Referring a client

Lindsey Hewitt

Healthcare Advocate

Lindsey Hewitt, healthcare advocate

Lindsey Hewitt brings 22 years of experience in medical billing, insurance claims, and accounts receivable to her work as a healthcare advocate. She spent those years on the other side of the table, working for hospitals and health systems. Now she uses what she learned there for patients and families.

Lindsey worked directly with insurance claims and medical collections for major healthcare systems, including Sentara Health Systems, the Medical College of Virginia, the University of Virginia and affiliates, Chesapeake Regional Medical Center, and Bon Secours Maryview Medical Center. Her daily work included verifying patient eligibility, tracking denials and payment delays, correcting billing and coding errors, and writing detailed, evidence-backed appeals for denied claims. Most patients meet that same work for the first time, on their own, after a diagnosis or a denial letter.

Before entering healthcare, Lindsey spent nearly five years as a Deputy Clerk of Court, filing and managing civil, criminal, and family court cases. The job sharpened her case management, her precision with procedure, and her persistence in moving a complicated file through a slow system. She brings the same skills to advocacy.

Lindsey is a Certified Professional Collection Specialist, a credential that covers Fair Debt Collection Practices Act (FDCPA) compliance. She is also a Virginia Certified Mediator and a Notary Public, and she has trained, coached, and quality-assured teams of collection specialists. That work gave her a practiced eye for where a claim or a bill has gone wrong and how to fix it.

Lindsey understands both sides of the insurance and billing process: how claims are supposed to work, and everywhere they tend to break down.

Lindsey's credentials

Experience
22 years in medical billing, insurance claims, and accounts receivable
Health systems
Sentara · Medical College of Virginia · University of Virginia and affiliates · Chesapeake Regional · Bon Secours Maryview
Certifications
Certified Professional Collection Specialist (FDCPA) · Virginia Certified Mediator · Notary Public
Prior role
Deputy Clerk of Court, nearly five years
Based in
Virginia Beach, Virginia

Lindsey's full professional profile (PDF)

Why human advocacy matters

Healthcare problems rarely fit a template.

  • We communicate directly with insurers and providers.
  • We adapt as the case develops.
  • We manage follow-up over time.
  • You have a person accountable to you.

Your records are handled through secure, HIPAA-aware processes.

Four steps, at your pace

  1. 01

    Free consultation

    Tell Lindsey what's happening. She'll tell you honestly whether she can help.

  2. 02

    Document collection

    We gather the bills, EOBs, denial letters, and plan documents that matter.

  3. 03

    Review and action plan

    You receive a written plan outlining the steps, timeline, and cost.

  4. 04

    Negotiation and follow-up

    We make the calls, send the appeals, and keep you updated until the issue is resolved.

What a line-by-line review looks for

A sample hospital statement, marked the way we review a real one. The patient, codes, and amounts are made up for illustration.

Statement of services

Sample

Patient: A. SampleDate of service: March 4

Sample itemized hospital statement, with three lines marked for review
Code Description Charge
99285 Emergency visit, level 5 (marked: see note 1) $1,960.00
85025 Blood count (CBC) $86.00
71046 Chest X-ray, 2 views $412.00
96374 IV medication, push (marked: see note 2) $318.00
80053 Metabolic panel $148.00
85025 Blood count (CBC) (marked: see note 3) $86.00
Total charges $3,010.00
  1. $1,960 emergency visit

    Does the billing level match the care provided?

  2. $318 medication charge

    Was the medication actually administered?

  3. $86 duplicate charge

    Two identical CBC charges on the same date.

    Errors like these are easy to miss. Lindsey catches them on statements every week.

Straightforward pricing

Coastal Healthcare Advocates helps you understand medical bills, resolve insurance issues, and get the most out of your benefits.

You don't have to guess. After your free consultation, we'll tell you what we recommend, how much it will cost, and what you can expect us to do.

  1. Start here

    A 20–30 minute call

    Free

    A phone or video consultation to talk through your situation and the best way to help.

  2. One-time help

    A bill, an appeal, or a negotiation

    From $75

    A flat fee for one piece of work: a bill review, a claim appeal, a provider negotiation, or a benefits session.

  3. Complex case

    Hourly advocacy

    $85 / hour

    For cases that don't fit a flat fee, billed in 15-minute increments.

  4. Ongoing help

    Monthly support

    $375 / month

    Up to 5 hours a month for anyone managing several bills or claims at once.

You'll get a written agreement outlining fees before any paid work begins.

See every service and fee

Download the full pricing sheet (PDF)

FAQs

Have more questions? Email us or call us (Monday–Friday, 8:00 AM–5:00 PM ET).

About advocacy

What does a healthcare advocate do?

We work on your side with insurers and billing offices: explaining your plan and bills, appealing denials, negotiating balances, and finding financial assistance. We don't give medical or legal advice.

What can you help with?

Claim denials and appeals, medical bill negotiation, EOB review, Medicare and Medicaid claims support, and debt-resolution or financial-assistance referrals. We also work with doctors' offices and other professionals on behalf of their clients. The full list is under Services.

What don't you do?

We don't diagnose, treat, or give medical or legal advice, since we're not doctors or attorneys. Our work stays on insurance and billing: paperwork, appeals, and negotiating what you owe. When you need a doctor or lawyer, we'll say so and help you find one.

Cost

What does it cost?

The first consultation is free. Most one-time work is a flat fee between $75 and $300; larger cases run $85 an hour; monthly support is $375. Full pricing is on the pricing page. You'll get a written agreement before any paid work begins.

Do you charge hourly?

Only for complex, ongoing cases, billed at $85 an hour in 15-minute increments. Most single-issue work, like an appeal or a bill review, is a flat fee instead, so you know the cost before we start.

Do you offer packages?

Yes. The Single-Issue Package covers up to 3 hours on one bill, claim, or denial for $225. If you're managing several at once, the Monthly Support Plan covers up to 5 hours a month for $375. Details are on the pricing page.

My situation

My claim was denied. Can you still help?

Yes. Many denials come from a coding error, a missing document, or a plan rule applied the wrong way, and those can be appealed. Send us the denial letter and your EOB, and we'll tell you honestly whether an appeal is worth pursuing.

I'm helping my spouse or parent. Can I hire you on their behalf?

Yes. With their permission, Lindsey can work with both of you and keep the family in the loop. Insurers and providers usually need the patient's written authorization first, and we'll help with that paperwork. If you're paying for someone else's advocacy, the fee agreement covers that too.

How long does it take?

It depends on the problem and how quickly insurers and providers respond; some appeals move through several review levels. Your written action plan includes a likely timeline.

Privacy

Is my information confidential?

Yes. We follow HIPAA privacy standards, and your health and financial information stays confidential. We never sell it or share it for marketing. Our Privacy Notice explains how we store, transmit, and dispose of your records.

How do you handle my health information?

We treat anything you share as protected health information, handled under HIPAA-aware practices. We only request what a claim or bill actually requires, only contact your insurer or provider with your written authorization, and never share your records for marketing or outside the case without your consent. Storage and retention details are in the Privacy Notice.

Start with a free consultation

Send a short message, and Lindsey will respond within two business days. We won't ask for any health details yet.

Please don't enter Social Security numbers, diagnoses, or other sensitive health details here. We'll collect what we need securely, following HIPAA privacy standards, after we connect. Not for emergencies (call 911).

Required field

Enter either an email address or a phone number.

Preferred contact method

Please don't include diagnoses or treatment details. We'll gather those securely once we talk.

Book a free 20–30 minute call

No obligation, just a conversation. Get out of the insurance maze.

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