Generally, if your visit is in-network, the provider gets the payment from the carrier. If the visit was out-of-network, the member gets the reimbursement.
Whether in-network or out-of-network, our auditors will work to investigate and negotiate your bills with your providers and insurance company to ensure you are receiving your full entitled amount.
Was this article helpful?
That’s Great!
Thank you for your feedback
Sorry! We couldn't be helpful
Thank you for your feedback
Feedback sent
We appreciate your effort and will try to fix the article