Out-of-Network, Out of Luck? A Growing Body of Caselaw Addressing…

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It’s become a common scenario for medical providers: a provider treats a patient covered by employer-provided health insurance for which the provider is out-of-network, receives an assignment of benefits from the patient and is reimbursed by the benefits plan administrator at a rate much lower than the amount charged, if at all. The provider then embarks upon the often Sisyphean journey of navigating the plan’s lengthy and nebulous appeals process.

SOURCE: Health Insurance News – Read entire story here.

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