Out-of-Network Provider in Medical Billing
An out-of-network provider is a healthcare provider who does not have a contract with the patient’s insurance plan and may result in higher out-of-pocket costs for the patient.
Out-of-Network Provider in Medical Billing Explained
In medical billing, when a patient sees an out-of-network provider, their insurance may not cover the full cost of care, leading to higher patient responsibility. Patients may be billed for the difference between the provider’s charges and what the insurance plan will pay.
For example, a patient sees a specialist who is out-of-network, and the insurance company covers only a portion of the bill, leaving the patient to pay the rest.
Learn more about common acronyms and abbreviations in Medical billing glossary.
-
Years in Business
-
Social Signals
