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ARKANSAS SENATE 92nd General Assembly Regular Session, 2019 Amendment Form BBC 04/03/19 (1) ___ Subtitle of Senate Bill No. 102 AN ACT FOR THE DEPARTMENT OF HUMAN SERVICES DIVISION OF AGING, ADULT,
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How to fill out out-of-network health care services

01
Check with your health insurance provider to see if out-of-network services are covered.
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Obtain a referral from your primary care physician if required by your insurance.
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Research and locate an out-of-network provider that meets your needs.
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Schedule an appointment with the out-of-network provider.
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Be prepared to pay for services upfront and submit a claim to your insurance for reimbursement.

Who needs out-of-network health care services?

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Individuals who do not have access to in-network providers for their specific health care needs.
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Individuals seeking specialized or unique medical treatments that are not available within their insurance network.
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Individuals who prefer the care or expertise of a specific out-of-network provider.
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Out-of-network health care services are medical services that are received from a provider that is not in your health insurance plan's network.
The individual who received the out-of-network health care services is required to file for reimbursement with their health insurance provider.
To fill out out-of-network health care services, you need to submit a claim form along with any supporting documentation to your health insurance provider.
The purpose of out-of-network health care services is to provide coverage for medical services that are not available within your health insurance plan's network.
The information that must be reported on out-of-network health care services includes the date of service, the provider's information, the type of service provided, and the total cost.
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