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Health Insurance Plan Network Provider Agreements

October 31, 2023 (2 min read)

Use this practice note from Practical Guidance – Healthcare to understand agreements between health plans and doctors, dentists, and other healthcare professionals who provide services to plan members;  gain insights into provider network development and contracting, provider manuals, compensation, billing and payment, network participation, provider licensing and insurance, provider credentialing, maintenance of records, termination, and state contracting and filing requirements. Consult this resource when drafting, reviewing, or negotiating a provider agreement with providers who want to participate in the health plan's provider network.

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