Networks vs DNA

Contracted networks DNA ©
Emergency medical treatment for your client YES YES – under EMTALA
Pre-knowledge over discount rate No way of knowing YES – high control over final payment
Payment time No more than 30 days -otherwise payment in full 30 days on average
Conflict of interests Have their own members over the network Committed only to the insurance company
Statistical risks on high $ accounts High Low
In case of 3rd party liability Pay the bill first and pursue the 3rd party The decision to pay is that of the insurance company
Uninsured discount Impossible Possible
Letters of agreement signed by the provider No – contracts are confidential Yes – for each and every account
Checking the bill Payment by contract Yes - by doctors and experts
In case of medical malpractice Payment by contract Taken into consideration
Transparency None Very high
Zero balance Yes Yes

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