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PMRNC:

--- Quote ---When you looked on website for verification, did you look at just exclusions?  Generally, you look under Provider Types as well to see which providers are covered. (at least in my state we have that option)
--- End quote ---

Certain "state" exclusions are not going to be in benefit booklets or when verifying benefits. The scope of a providers license is something on the "state" level, has no baring on the policy or carrier. If some carriers do have it ..it's a bonus but it's not required.

shanbull:
Here we are not covered by insurance verifications via the insurer's websites, there is a cover-our-butts disclaimer on most of them saying something like, "the benefits quoted online should not be used as a guarantee of reimbursement and should not be communicated to the patient, please call us for specific coverage inquiries." Does your verification site say something similar?

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