How you get into an insurance network if the panels are full?

[podiatrysurgery]

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I know 2 answers: work forever for someone or move from NYC to open your office in North Dakota

 

[Pronation]

North Dakota sounds pretty good.

 

[g squared 23]

The pheasant hunting is phenomenal in ND. I vote for the latter.

 

[Creflo]

I've never been clear about how you get on a panel when someone hires you or you buy them out. If you are hired, are you automatically on that employer's insurance panels? If you buy a practice, do you automatically get on that practice's panels?

 

[dpmgrad]

I've never been clear about how you get on a panel when someone hires you or you buy them out. If you are hired, are you automatically on that employer's insurance panels? If you buy a practice, do you automatically get on that practice's panels?

Majority of the time, the practice (as a whole) is enrolled as a provider for the insurance company. Hence, when you join an existing group or you are buying out a practice, you will get onto a closed panel for an insurance company by simply being added on as a new practictioner for the practice. If you are buying out a practice, you obviously would get this in writing when buying out the practice. You do have to look closely at the contract that you will be signing with the insurance company. Many of the insurance companies will only enroll you into the closed panel because you are working for a practice that is already on the insurance panel. If you leave the practice, you will likely be removed from the insurance panel since you are no longer a member of the practice. An option would be to ask nicely to be added as an individual practictioner onto the insurance panel and reassign your benefits to the practice. This way, you will be able to take the insurance with you when you leave the practice. Aetna is a closed panel for Podiatrists in the greater Philadelphia area. During my credentialling process with Aetna when I joined my group, I asked to see if I can get an individual contract with reassignment of benefits to my practice. Aetna credentialler agreed and process me as individual practictioner. Most of the time, insurance companies will not agree to this because they are not looking to expand their closed panels to new practictioners unless you join an existing practice that participates in the insurance company. I hope that this helps.