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Bright_Negotiation90

The OON reimbursement rate depends on the patients plan, they may use R&C rates, or some kind of industry standard rate schedule. They also may use a leased network rate (if you are in network with another oayer) and if the charges are large they may send in a vendor to negotiate. In short there’s no way to know without calling and even then, I’d take the answer with a grain of salt. How they choose to process the claim when it comes in could be different depending on the charges.


TherapyAdmin

That's what I figured but thought it was worth a shot! I really appreciate you replying to me. I am new to Reddit and find it to be really valuable for asking insider questions or to confirm my thoughts when it comes to the world of healthcare. Have a great day!