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?