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

The business of recovery is changing fast. Many executives are getting left behind. The Recovery Executive Podcast talks to experts in the field on marketing, operations, M&As, billing, and growth to help you build your organization, serve more of those who need help, and stay on top.

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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