What is out of network provider in medical billing?

What is out of network provider in medical billing?

Out-of-network means that a doctor or physician does not have a contract with your health insurance plan provider. This can sometimes result in higher prices. Some health plans, such as an HMO plan, will not cover care from out-of-network providers at all, except in an emergency.

See also  Is Medi-Cal a PPO or HMO?