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Rental Networks, Claims Repricers and Anesthesia Practices

Everyone involved in the healthcare industry will inevitably learn about the confusing aspects of medical health insurance. Just when you thought you had a grasp on the insurance marketplace another complexity presents itself.  Sometimes what you might have thought of as an insurance plan turns out not to be insurance at all. There is a variety of well-known insurance plans available in the market today. Some of these plans are government-run, starting with Medicare and Medicaid. Others are private or commercial managed care plans offered by entities that include Blue Cross and Blue Shield, United Healthcare or Aetna.  Then there is a less well known group of companies that market themselves as health benefit plans but that are in reality simply claims repricers, or discount brokers and vendors, i.e., “rental networks” or ”silent PPOs.” What is a “Rental Network PPO?” A rental network preferred provider organization or medical discount network or...
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