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In this video tutorial, Jennifer Blevin Smith from Integral Clinic Solutions discusses out-of-network billing, addressing common confusions surrounding the term. Out-of-network providers have not signed contracts with insurance companies, meaning they are not bound to accept the fees set by those insurers. Credentialing with an insurance company does not automatically qualify a practice as in-network; providers must have an official contract to align with the insurer's reimbursement rates and stipulations. The discussion emphasizes the importance of understanding the distinctions between in-network and out-of-network billing for medical practices.
