Cigna Single Case Agreement

*Rogers enters into service level agreements with all third-party providers to ensure they reflect our mission in interacting with our patients. If you have been treated unfairly, please contact Patient Financial Services immediately. We will keep in mind on your behalf with our third-party providers. One thing to keep in mind is that insurance companies are legally required to properly treat patients by properly trained professionals. Therefore, if the insurance plan does not cover out-of-network services and there are no networked providers with the indicated specialization, you can, as a trained provider, negotiate your usual full meeting fees for new patients. This is because the patient does not simply choose to see you, but is forced to do so with insufficient network providers. In this case, the patient usually asks the insurance for an ACS with you before starting treatment. If the patient has recently changed insurance providers, the insurance company may arrange a limited number of meetings (approximately 10) and a period (.B e.g. 60 days since the change of insurance) to allow the patient to continue treatment with the current provider outside the network, while switching to a network provider. If there is evidence that the person might pose a danger to themselves or others, or if it affected the patient psychologically/mentally (e.g.B returns during treatment) if this is necessary to switch to a network provider, a case could be made for increased continuation of care with the current provider.

Examples: a patient has an uncertain bond and it is very difficult to trust others. The already existing therapeutic relationship with the current provider can be considered as a factor in the allocation of sca. If you are covered by more than one insurance plan, we will assert claims with both companies. One insurance plan will be your first insurance and the other your secondary insurance. In some cases, you can use Medicare in addition to your primary and/or secondary insurance plans. If your supplier does not have an agreement with us, just contact us and we will try to arrange a direct payment and/or discount on a case-by-case basis. Please note that this is not always possible. If you receive an ACS for a current patient for continued treatment, the negotiated rate is based on the patient`s informed consent and consent at the start of treatment with you. Rate increases will be consistent with your pricing policy in informed consent. You can`t charge the patient a lower mobile rate out of pocket and then charge the insurance company your normal full rate if the SCA is back to cover past meetings. If the patient has not had the chance to find a sufficiently qualified network provider, the patient advocates for AA with the out-of-network provider before starting treatment. In the case of uninsubsued insurance plans, you can try to get a case-by-case (SCA) agreement through your insurance company.

An SCA is a contract with an insurer outside the network that has agreed on a certain single rate for your care. If we have received your email address, you will receive an email with an activation code…