Payments > Insurance Payments

Out of network billing

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midwifebiller:
Many BCBS plans do send checks to a non-par provider.  We have billed for OON midwives in 32 states--most of them send the check to the midwife, not the member.

PMRNC:
They are not supposed to.. there are 6 states that have taken them to court and lost because they don't honor assignment of non par providers. I had a provider once that got his checks and upon research we found he had a contract he never canceled or opted out of.

Betterway:

I'm only familiar with Georgia where BC/BS will pay a non par provider who accepts assignment as long as the patient has a Georgia policy. If the patient has an out of state or federal policy, then the check will always go to the patient.

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