Health Insurance Provider Agreement

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Health Insurance Provider Agreement

Health Insurance Provider Agreement

A contract between an insurance company and a healthcare provider detailing reimbursement terms and coverage policies.

37,046.24

(4 customer reviews)

Description

A Health Insurance Provider Agreement sets the terms under which healthcare providers are reimbursed for medical services by insurance companies. It defines billing procedures, reimbursement rates, covered services, dispute resolution mechanisms, and regulatory compliance requirements. These contracts ensure that patients receive medical services covered by their insurance while providers are fairly compensated. Insurance agreements also establish pre-authorization requirements, claims processing timelines, and fraud prevention measures. Properly structured agreements help streamline healthcare payments and reduce financial disputes between providers and insurers.