This is a question on the minds of many. With the recent tales of “834 errors*” will insurance carriers really have an accurate record of who is covered under plans sold on the exchange? * 834 is the data transmission form sent from healthcare.gov to the carriers containing a policyholder’s information. The 834’s have been plagued with missing, garbled, or duplicate data, casting doubt on whether carriers will receive correct
In-network vs. Out-of-network Care
What is a network? A network (also called provider network or preferred providers) is a group of medical providers (hospitals, doctors, specialists, pharmacies, etc.) that have contracted with an insurance company to provide medical care at an agreed-upon rate. What is in-network vs. out-of-network care? In-network care is medical care obtained from a provider within your plan’s network. Out-of-network care is medical care obtained from providers outside of your plan’s
