Pursue PPOs when they underpay your practice
Effective Oct 1, 2005
Published Oct 1, 2005
Picture this: A provider discovers one month that his preferred provider organization (PPO) underpaid his facility. The contract says that both parties must mutually agree to any fee schedule adjustments, but the provider received no notice. He decides to sue the PPO for breach of contract. But because PPOs aren't heavily regulated, will he have any legs to stand on?
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