Directories of health insurance providers often contain errors. what to do, a health consumer guide – InsuranceNewsNet
Health insurer directories often contain errors and outdated information despite state and federal regulations that require insurers to take steps to make them more accurate.
If you have medical insurance, chances are you’ll be exasperated at some point trying to find a doctor or mental health practitioner available within your health plan’s network. You find several providers in your plan’s directory and call them. All. But the number is wrong. Or the doctor has moved or retired or is not accepting new patients. Or the next available appointment is in three months. Or the provider is not actually in your network. Despite state and federal regulations that require more accurate health plan directories, they can still contain errors and are often out of date. Faulty directories don’t just hamper our ability to get care. They also report that health insurers are failing to meet requirements to provide timely care, even as they tell regulators. Worse, patients who rely on faulty directory information may face inflated bills from doctors or hospitals that turn out to be outside their network. 2016,