Christopher Garmon

Oct 17, 2024 | onlinelibrary.wiley.com | Wendy Xu |Christopher Garmon |Sheldon M. Retchin

1 BACKGROUND Managed care plans contract with health care providers who accept discounted pricing in exchange for in-network participation. However, health plan members can encounter out-of-network (OON) providers unexpectedly, leaving them vulnerable to sizeable balance bills from these providers.