Many clinicians aren’t aware that in order for a patient to use out-of-network benefits, the clinician must also have an out-of-network profile set up with the patient’s insurance company. This is true with or without Float! If you don’t have an out-of-network profile set up, even if you technically fall within what’s covered, the insurance company will reject your patient’s claims.
You set up an out-of-network profile by working directly with the insurance company, or Float can handle this process for you during onboarding.
When filing claims “out-of-network”, insurance companies still need certain information about your practice on file in order to pay your patients’ claims. We ensure that this information is set up correctly with each insurance company. We also need to create accounts with each insurance company to work on behalf of you and your clients to submit claims, receive reimbursements and processing information from each insurance company
This doesn’t change anything about your status with the insurance companies, you’ll continue to be an out-of-network provider. It will even benefit your patients that aren’t utilizing Float to file claims, as with all the up to date information set up with each insurance company, your patients claims won’t be held up while they’re requesting refreshed W9s and other practice information.