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hi everybody Jennifer blevin Smith with integral Clinic Solutions and youre watching my YouTube channel navigating the business of Medicine [Music] today were going to talk about out of network billing this is an important topic to discuss because theres a lot of confusion behind what out of network means and then also some of the differences in the billing between in-network and out of network now if youre a practice that is willing to build insurances in which you are out of network which means you have not signed a contract with them which would bind you to accepting their fees of what they reimburse for services then you are considered out of network you might be credentialed with the insurance company they may have vetted you said yes youre great youre good to go wed love to have you but if you have not physically signed a contract agreeing to their fees their other stipulations and all of that then youre still out of network a lot of times you can be credentialed and be w