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EP 106: Maximizing OON Reimbursement on Self-funded Plans with Ali Beheshti

EPISODE · Jul 4, 2024 · 50 MIN

EP 106: Maximizing OON Reimbursement on Self-funded Plans with Ali Beheshti

from The Recovery Executive Podcast · host Nick Jaworski

Many OON providers don't realize that a number of employer-funded insurance contracts include clauses that provide for higher reimbursements in exchange for guarantees not to balance bill patients, often resulting in millions of dollars of unreimbursed care. This episode is a deep dive into the complex world of third-party administrators (TPAs), downline administrators, self-funded vs. provider-funded insurance plans, and negotiating no balance billing clauses for OON contracts with Ali Beheshti, CEO of Zealie.

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EP 106: Maximizing OON Reimbursement on Self-funded Plans with Ali Beheshti

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