Our clinic is entertaining the idea of being out of network with come of the commercial carriers. Does anybody have experience with this regarding patient responsibilities. What are the regulations regarding what we can charge and what we can choose to write off.
I would assume that since there is no contract between us and the carrier we can choose to or choose not to bill the patient.
What about coverage questions? I know when I call a carrier I have to select if I am in or out of network with that carrier. If I select out of network does that mean they won't answer my questions or assist us in helping the patient??
Any insight or direction would be greatly appreciated.
Thank you!
I would assume that since there is no contract between us and the carrier we can choose to or choose not to bill the patient.
What about coverage questions? I know when I call a carrier I have to select if I am in or out of network with that carrier. If I select out of network does that mean they won't answer my questions or assist us in helping the patient??
Any insight or direction would be greatly appreciated.
Thank you!