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Health Reform for Out-Of-Network Providers: Receiving Insurance Checks Directly? - Free Webinars on Why and How
Date:4/5/2010

ipation, pursuant to DOL ERISA FAQ B3. Dr. Zhou also explained ERISA claim regulation has outlawed industry anti-assignment practice since January 2003.

Patient Protection and Affordable Care Act, PPACA, specifically prohibits any discrimination against any health care providers regardless of network participation:

`SEC. 2706. NON-DISCRIMINATION IN HEALTH CARE.

`(a) Providers- A group health plan and a health insurance issuer offering group or individual health insurance coverage shall not discriminate with respect to participation under the plan or coverage against any health care provider who is acting within the scope of that provider's license or certification under applicable State law.

http://thomas.loc.gov/cgi-bin/query/z?c111:H.R.3590.eas:

As President Barack Obama explained the new PPACA and ERISA Appeals on Jan 09, 2010 in his weekly address:

"And there will be a new, independent appeals process for anyone who feels they were unfairly denied a claim by their insurance company.

In short, once I sign health insurance reform into law, doctors and patients will have more control over their health care decisions, and insurance company bureaucrats will have less. All told, these changes represent the most sweeping reforms and toughest restrictions on insurance companies that this country has ever known."
http://www.whitehouse.gov/the-press-office/weekly-address-president-obama-outlines-benefits-health-reform-take-effect-year

According to New York Attorney General Andrew M. Cuomo on January 13, 2009, about 70% of insured working Americans paid higher premiums for out-of-n
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Source: PRWeb
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