Topic
out-of-network
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NEW RULES:Bans on balance billing and out-of-network cost-sharing
Effective Jan. 1, 2022, Health Plan commercial members will be protected from balance billing after receiving emergency care and nonemergency care from certain out-of-network providers at in-network facilities.…
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I’m out-of-network with the payer requesting an audit. What right does the company have to audit my records?
A LOOK INTO (MANAGED) BEHAVIORAL HEALTHCARE: AUDITS A trending issue has popped up in my inbox and I thought I’d take a quick minute to post this crude…