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Payer reimbursement policies must be understood in order to calculate your compensation under the provider contract.
In order to ensure that their customers have enough coverage, managed care plans frequently require doctors to join their networks. Due to the fact that many patients have managed-care insurance plans, physicians may think that by refusing to sign a contract, their practice will lose a lot of potential patients. The foundation of the decision should be an efficient company model.
Keep all of your payer contract negotiations and related fee schedules in one simple, accessible spot.