There could be a time when you face the loss of network provider status if you have a conflict with an insurer (or several). When this happens, it could mean the loss of patients that you work hard for.
Losing network provider status can happen because of a few issues. These may include:
- Being part of a medical malpractice lawsuit
- Having an issue during a peer review
- Having a complaint sent to the state administrative board about you or the facility where you work
The good news is that you can work with an attorney to have your status protected. There are various legal options available to help you maintain your network provider status and resolve conflicts that may be influencing insurance companies.
Is keeping your direction information current important for your network status, too?
Yes, sometimes the threat of losing your network status comes from failing to update your information. When an insurance company adds you to a preferred list, it wants you to keep accurate information. Providers who do not validate their credentials could be removed from the online provider directory. On top of that, it could influence your network provider status over all.
Each insurance provider is different but will have specific requirements for you to follow. If you fail to meet the obligations set by any contacts you’ve signed, then you could lose your status.
Our website has more information on what you can do to protect your status as a network provider, so you can continue to see the patients you care about and deliver quality care covered by the major insurance companies people use most.