Question:
Hi Jennifer,
I'd like to stop taking a certain insurance. I've attempted to call to terminate, but haven't received an acknowledgement. Must I continue to see their patients until I hear from them?
Thanks, Dr. W
Answer:
Terminating a provider relationship with a payor requires adherence to your provider contract. Notice must be sent explicitly in line with the obligation for notice (if termination by notice is acceptable) as per the provider agreement between you and the payor.
Please review your provider contract or send to our attention for a consultation review (we would charge for the time) for assistance in identifying your notice obligation to the carrier. Happy to assist. Most notices must be mailed with proof of mailing for termination to be properly deemed received. Until such time as you properly terminate your "in network" status, you will have an obligation to adhere to your contractual arrangement and see the payor's patients for in-network rates (this applies to most carriers and most termination arrangements).
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