Is there any difference in the claims submission procedure if the doctor/clinic is in-network vs. out-of-network?

Last Updated March 3rd, 2017

There is not a difference in the submission process, but your claim results may vary based on in-network vs out-of-network. For example, if the patient does not have out-of-network benefits, the trading partner may be less likely to reimburse a claim submitted by an out-of-network provider.

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