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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] todays topic is about canceling payer contracts if youre opening your own practice and youre just getting started chances are this isnt going to pertain to you this is more for people who have been in practice a while or are maybe absorbing a new practice like buying a practice or taking over a retired providers practice and they dont like some of the things that payers are doing or maybe the payer isnt willing to renegotiate fee schedules and you just want to be done with the insurance all together when you cancel a payer contract it means that you will no longer be participating or considered in network with them patients who are insured by that specific payer will either have to be cash price or if theyre out of network benefits will cover the visit at your office then they would have to utilize their out-of-network benefits the