Increase out-of-network reimbursement to network level
If your health plan has a lack of access to a qualified and available network contracted provider, you may be able to get reimbursed at the in-network rate for seeing an out-of-network provider.
Why
You can save money on out-of-pocket costs if you file a successful claim with your health plan.
Guides
Curated by our research team, signed off by experts and parents alike, guides walk you through the entire process, step-by-step. They cover common pitfalls and how to navigate complexities in order to accomplish your goal.
If a family’s decision to seek out-of-network care is based on the preference for one provider over others, this does not qualify for authorization. If the decision is based on the health plan’s lack of access to an available contracted provider within a reasonable geographic distance or the lack of required specialization, the lack of appropriate care is a circumstance in which a request for increased reimbursement is more suitable.
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- Connect you to the resources and services your child needs in less time
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Increase out-of-network reimbursement to network level
Work with a Navigator to accomplish this goal
