Know Before You Sign: What Every Provider Should Understand When Entering A Network Contract
Insurance provider contracts can offer opportunities to expand your patient base and strengthen referral networks, but they also outline important rights, payment processes and responsibilities for both the provider and the insurer.
Before signing, take time to understand all terms of the agreement. Pay attention to how the provisions will affect your administrative processes, patient care procedures, and financial management. Asking the right questions now can help ensure that you enter any agreement knowing how it supports your goals and protects your ability to provide quality care.
As a support to members, the TCA “Know Before You Sign” Toolkit provides an outline with helpful information and considerations for chiropractic physicians who are reviewing network contracts. This member resource is provided for informational and educational purposes only. It does not constitute legal advice.
TCA MEMBERS: Click Here to Login & View the “Know Before You Sign” Toolkit
Important Note:
The TCA can provide general guidance and resources, but cannot advise members to accept or reject specific payer contracts. Each member should consult with their own legal counsel regarding their individual circumstances. Keep in mind, serious anti-trust concerns may arise from any attempt by providers to discuss proprietary agreements with outside parties. Providers who collectively threaten to, or actually refuse to, deal with a purchaser because they object to the purchaser’s administrative, clinical, or other terms governing the provision of services run a substantial anti-trust risk.