Knowing your health plan can help you save money and avoid surprise expenses. Understanding in-network vs. out-of-network providers is key to learning how your health plan works. The providers you see ...

Question: I just found out that one of my providers is no longer in network for my Medicare Advantage Plan. What are my options? Answer: There are many important factors to consider when learning to ...

Provider network intelligence (PNI) technology represents a revolutionary approach to network management that combines artificial intelligence, real-time data analytics and predictive modeling to ...

Three major medical organizations are urging Anthem to withdraw a policy that would penalize hospitals and outpatient facilities that use out-of-network providers. The American Society of ...

If you have a health insurance plan, you’ve probably come across the terms “in-network” and “out-of-network.” Simply put, in-network means the doctors or hospitals you visit contract with your ...

CareOregon, the state’s largest provider of Medicaid benefits, will soon stop covering routine mental health and addiction treatment from out-of-network providers. The Portland-based insurer said the ...

The dispute between Indianapolis-based Elevance and provider groups centers on the federal No Surprises Act, enacted in 2022, which seeks to protect patients from unexpected, expensive out-of-network ...