I have a similar situation with my provider Linda. We are non-par with Aetna, and almost became a network provider. It took us a long time to come out of network with them the first time since the reimbursements are low. We spent month's on a client to provide her with the chair she needs, but she changed insurance mid stream, and her Aetna has no OON benefits. We wanted to get non par provider approval, but they found someone that was within the area that could provide her the chair. We explained to him what the reimbursement would be, but he apparently got some special consideration from Aetna and has negotiated a larger amount. Well now my provider wants to be in network so he can negotiate. I said WTF??? Don't let one case make you sign your life away. The benefits of one case will not make this practice. We would not be able to negotiate on all cases especially being a network provider. The reports you speak of are very vital to show relevance in situations such as mentioned by the poster.