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Out of network surgeon

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  • Out of network surgeon

    I am a surgical specialist.  After practicing for over 7 years in-network with most insurance plans, I have dropped medical insurance one by one and now I am no longer in-network with any plans. I generally collect the minimum amount I am willing to do surgery for from the patient prior to surgery.  Then we bill insurance to see if they pay.  It's extremely variable.

    I would like to hear from anyone who uses the 3rd party billing services out there.  My main billing staff member has 20+ years experience in the billing world.  But I am wondering if the OON denials and appeals are better suited for a company that deals with this regularly.  Any recommendations?