Guest guest Posted May 7, 2012 Report Share Posted May 7, 2012 I'm a new practice, am contracted with Aetna, and saw my first Aetna patient, the same guy now 3 times. I have since received faxes, for the first 2 visits, from a place called Multiplan, stating " Expedited Agreement " , with then offering to pay me some percent (like 70%) of what I billed. It says that I would be considered out of network. I called Aetna to ask them what this is and they said I can take the option, but the patient might get stuck with out-of-network costs...except no, wait, this patient has a 100% out of network benefit, so they pay nothing either way. The amount I billed Aetna was about $300. The amount I was offered from Multiplan was like $210. The amount I should get from Aetna, based on contract, is like $180. Someone please explain to me: why don't I just take the Multiplan option in this case? Some googling finds me discussions on Multiplan, where providers return their fax stating " no thanks, " and then multiplan ends up paying close to the full billed amount. Why don't I try that? And in the meantime, Aetna has told me that they have cut me a check for the $180..... Quote Link to comment Share on other sites More sharing options...
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