BC Advantage - 2007 Issue 3

Health Insurance Contracting and the Patient

When working with non-governmental insurance companies, to establish network contracts, a provider should take into consideration the expenses of collecting from the patient.  These expenses are rarely discussed or reviewed but they can have a huge impact on the practice revenue.  Normally, a provider allows a considerable discount to contract with an insurance company.  These discounts should be reviewed carefully before agreeing to them.Most insurance companies want a provider to take a 50-60% discount to the provider's usual and customary charges.  This is how insurance companies make a profit.  Many times an insurance...

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