Health plan payments to noncontracted providers

James F. Doherty

Research output: Contribution to journalReview articlepeer-review


A recent legal trend involves the resolution of disputes between health plans and nonparticipating providers. These individuals have not entered into a formal participation or services agreement with the health plan, but they may be eligible for and legally entitled to reimbursement for services rendered to plan participants. Resolution of these disputes can hinge on a number of factors, including benefit design, state law, and patient compliance with administrative requirements.

Original languageEnglish (US)
Pages (from-to)49-51+61
JournalManaged care interface
Issue number7
StatePublished - Jul 1 2005

ASJC Scopus subject areas

  • Health Policy


Dive into the research topics of 'Health plan payments to noncontracted providers'. Together they form a unique fingerprint.

Cite this