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Tue, 29 Feb 2000 16:27:11 -0500 |
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For the past 2 years in private practice I have been reimbursed by HMOs as an out-of-network provider, without a contract. Suddenly, without notice one of them is only covering hospital-based services (which excludes me), and 2 others are leaving the state. A third company has told me all along that they do not cover lactation services (of course the MD who saw me managed to get 100% reimbursement, and a few other fighters obtained 50%), but I just found out that they are covering....for hospital based services. When I call for an application or contract I get all kinds of run-arounds. What is happening with insurance reimbursement for other private practice LCs and are there legal issues (anti-trust, or ...)? Thanks for your responses. Bettina Pearson
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