Hi. I just opened up a practice and am doing research on billing. I signed a contract with an insurance company and discovered that they pay way below my usual rate. Now I know I signed the contract, and that is binding. I get that. My patients understand this discrepancy, too, and some are willing to pay the difference, which is great, of course. But I don't want that to turn around and bite me. Is there a waiver that they can sign that will keep me safe?
Glad I asked. I have tried to negotiate myself (can't afford anything else), and the fee was raised only five dollars. I'm thinking I just need to opt out of the contract and go out-of-network, but I don't know what the repercussions might be. Is there anything I need to be aware of regarding opting out, like penalties, risks involved in re-credentialing at a later time, etc? I'm in a rock/hardplace situation. Thank youLuc
not sure what a carrier analysis or report by carrier is).