answersLogoWhite
Ask
Insurance
Medical Insurance

How can you get your insurance provider to sign up doctors as in-network?

279280281
Answer

Top Answer
User Avatar
Wiki User
2015-06-05 16:50:35
2015-06-05 16:50:35

The "In-network Doctors" heading herein has some great tips on getting your doctor enrolled.

In-network doctors I actually contract with Physicians for an insurance company and quite often I get requests to go recruit a particular doctor. First of all, there are Department of Health requirements which state there must be a participating doctor of each specialty within a certain mile radius of each zip code in each county in order to actually sell insurance into that county. I would check to see what that mile radius is in your county, because if you have to travel that far, perhaps you can get an exception to see a non participating provider at the in-network benefit level since the access requirements aren't being met.

In order to get your doctor to participate, I would contact your member services area. Have the customer service representative forward your doctor's information to PROVIDER RELATIONS. Provider relations will then contact your provider to see if he would like to become participating. Usually there is an application that needs to be submitted by the doctor. Then, each doc must be credentialed..that is their information must be verified and approved by a board of medical professionals who are employed by the Insurance Company. Once approved, the doctor can be added.

One tip, however. Many doctors get approached to participate in various plans on a regular basic. This is not normally a high priority for a physician, especially if they are not aware that they have patients who may have that insurance. If you want your doctor to participate, call him or her and advised them of what insurance you would like them to join. Explain why and ask them if you can do anything to help the process along. Sometimes the biggest motivator for the physician is a vocal patient!

1
0

User Avatar
Wiki User
2015-06-05 16:49:58
2015-06-05 16:49:58

Participating Doctors Bear in mind that it is ultimately up to the individual doctor as to whether or not he or she wants to participate in any particular health maintenance or insurance plan.

The law does not require a doctor participate, it's usually a business decision or matter of choice on the part of the physician.

1
0

Related Questions

User Avatar

Professional liability insurance is something that people who are doctors or special physicians need. You can sign up for this at professional insurance companies like State Farm.

User Avatar

Go to Job and Family Services and sign up for Medicaid. Call the hospital and ask if they have a financial aid program. Ask your provider to pay the balance in full with a discount due to no insurance.

User Avatar

Doctors of Osteopathic Medicine can sign up with Medicare.

User Avatar

In most insurance policies today part of the terms are an agreement by the insured to cooperate with the insurer. Cooperation requries the insured to participate and assign their rights to the insurance provider for claims the insured has against the original tortfeasor. In the event that the insurer pays a claim that was caused by a 3rd party, the insurance provider will requrie their insured to sign over subrogation rights. In the case of uninsured motorist coverage, the insurance provider's right of subrogation is created by statute.

User Avatar

it depends on the provider


Copyright © 2020 Multiply Media, LLC. All Rights Reserved. The material on this site can not be reproduced, distributed, transmitted, cached or otherwise used, except with prior written permission of Multiply.