Guest guest Posted January 28, 2006 Report Posted January 28, 2006 In my market, if the ordering doctor is out of network, then NOTHING is covered by UHC. And having had to face one person who got stuck with a $1200 MRI bill (even tho I did not tell them one thing or another about whether it would be paid) I am not willing to make that sort of statement to patients anymore. If UHC does it, what’s to keep every other insurer from doing the same thing. I just advise them to ask their benefits manager or the insurance company itself. Generally no one sees me out of network, even if I agree to accept an amount equal to the copay they would pay to a network doc annie. insurance contracts > > I've just been purusing the Blue Shield contract and > provider manual. > It's enough to make my head spin. Have others > " negotiated " changes to > their contracts or did you just sign them as is? > There's so much > ambiguity and abdicating of responsibility on the > part of the insurer > I wouldn't know where to begin. And did you > actually read through the > enormous provider manuals? This is enough to make > me seriously > consider not contracting with insurance companies at > all. > > > > > > > Quote
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