Answer:
What’s the most likely Reasons a patient’s HMO won’t pay for her dermatologist office visit
Your provider "accepts your insurance" — but isn't in your plan's network. There's missing information.
Often, insurance companies will request additional information from the provider, and for whatever reason, the provider does not give the information or it gets lost in processing at the insurance company. If you are not diligent in following up when you receive an insurance statement indicating that nothing was paid, your claim may never be
The most likely reasons a patient’s HMO won’t pay for her dermatologist office visit are as follow:
A kind of health insurance plan that usually restricts the range to care from doctors who work for or lease with the HMO.
It typically won't cover out-of-network care except in trouble.
An HMO may demand you to live or work in its service area to be eligible for the range.
Thus, the above mention points might be the reason of patient’s HMO won’t pay for her dermatologist's office visit.
To learn more about Health maintenance organizations click here:
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