Out-of-Network Benefits

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202102

Term: Out-of-Network Benefits

Definition:With most HMOs, a patient cannot have any services reimbursed if provided by a doctor or hospital that is not in the network. With PPOs and other managed care organizations, there may be a provision for reimbursement of “out-of-network” providers. Usually this will involve a higher copayment or lower reimbursement.

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The ERI Distance Learning Center is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: https://www.nasbaregistry.org/

ERI Economic Research Institute is recognized by SHRM to offer Professional Development Credits (PDCs) for the SHRM-CP® or SHRM-SCP®