What is it?
A letter to an insurance company through which a provider is contracted as an in-network or participating provider to alert them to the fact that you are starting to see patients at a new functional medicine practice and your intent is to be out-of-network (cash-based).
Why do I need it?
It is usually required by the Participation Agreement that you signed (or your practice/hospital signed on your behalf) to be a participating provider and receive reimbursement for covered services under the Participation Agreement.
When do I use it?
Ideally, before you start seeing functional medicine patients outside of your conventional/insurance-based employment.
Who is this for?
All providers that are or were in-network participating providers that are transitioning to a cash-only model.