Micah Skidmore for D Healthcare Daily: What To Do When Faced With Network Termination Or Denied Insurance Fees


The financial pressures resulting from the “narrow network” phenomenon are well known to healthcare providers and payers. Many providers have been eliminated from existing networks in order to allow participating providers access to a greater volume of patients. Those remaining providers have seen lower reimbursement rates and other cost containment measures.

These changes in the healthcare marketplace have prompted disputes between payers and providers over termination and reimbursement for services that have been discounted or denied. As courts and arbitrators review these issues and developments in the law continue to unfold, here are three questions that every healthcare provider and payer should consider and review.

Excerpted from D Healthcare Daily. To read the full article, click here.

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