Question: Third Party Insurance Verifier Preventing Coverage

Hello,

I’m not sure if this is the right place to ask this question but here it goes:

I’m trying to work with a provider who is using a third party insurance verifier to process claims, etc. The provider is a preferred provider (in network) with my specific insurance plan. However, the third party verifier says that the provider cannot accept my insurance because they are not credentialed for my insurance plan through their company. They are credentialed with the overarching insurance company.

I called my insurance and they said that my provider has a legal and contractual obligation to accept my insurance. The provider will not see me until the insurance is verified through the third party verifier and I’m not sure what else to do. I’m trying to see this specific provider because of their specialty.

Is there anything else I can do to communicate that the company is preventing the provider from fulfilling this obligation? I’m also wondering if there is anywhere I can report this company because this seems highly suspicious and wrong considering it’s forcing a provider to break an agreement with an insurance company. Please let me know your thoughts and thank you.