A Provider Who Is Under No Contractual Agreement with the Insurer

question 1

Short Answer

A provider who is under no contractual agreement with the insurer to accept reimbursement as payment in full.

---

Definitions:

Senior Person

An individual holding a higher-level position or rank within an organization or group.

Special Role

A unique or specific function that an entity, individual, or group is expected to perform within a certain context.

Negotiation Evolves

The process by which negotiation strategies and tactics develop over time to address changing circumstances and interactions.

Payoffs

The benefits or rewards reaped as a result of making certain choices or pursuing certain actions.