WHAT AGREEMENT BETWEEN THE HEALTHCARE PROVIDER AN INSURANCE CARRIER?

The agreement between a healthcare provider and an insurance carrier is typically known as a provider contract. This contract outlines the terms of reimbursement for services rendered to patients covered by the insurance plan, including payment rates, billing procedures, and coverage limits. It also specifies the responsibilities of both parties, ensuring compliance with regulations and quality standards. Such agreements are essential for determining how healthcare services are paid for and can affect patient access to care.