BC Advantage - 2008 Issue 11

How To Deal with Insurance Companies Who Do Not Reimburse Per a Contract

This is not an easy topic to discuss.  Insurance companies work hard to convince a provider to be contracted. It is in the interests of all parties to comply with the terms of the contract.  One reason (and this is not easy to discuss) is because some contracts are written so poorly that it may be difficult to determine if the reimbursement was correct.  It is important to know exactly what amount is to be reimbursed.  Some contracts are based on a percentage of the Medicare allowable. The problems associated with this are as...

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