Individual Nonbilling Provider Agreement - Washington

Individual Nonbilling Provider Agreement is a legal document that was released by the Washington State Health Care Authority - a government authority operating within Washington.

FAQ

Q: What is an Individual Nonbilling Provider Agreement?
A: An Individual Nonbilling Provider Agreement is an agreement between a healthcare provider and a health insurance company in Washington, where the provider agrees not to bill the insurance company for certain services.

Q: When would someone need an Individual Nonbilling Provider Agreement?
A: Someone would need an Individual Nonbilling Provider Agreement if they provide certain services that are not covered by insurance, or if they choose not to bill insurance for those services.

Q: What services are typically not covered by insurance under an Individual Nonbilling Provider Agreement?
A: Services that are typically not covered by insurance under an Individual Nonbilling Provider Agreement include cosmetic services, alternative therapies, and some experimental procedures.

Q: How does an Individual Nonbilling Provider Agreement work?
A: Under an Individual Nonbilling Provider Agreement, the provider agrees to collect payment directly from the patient for the services that are not covered by insurance.

Q: Is an Individual Nonbilling Provider Agreement legally binding?
A: Yes, an Individual Nonbilling Provider Agreement is a legally binding contract between the provider and the insurance company.

Q: Can a provider still bill insurance for other services if they have an Individual Nonbilling Provider Agreement?
A: Yes, a provider can still bill insurance for services that are covered under their contract with the insurance company.

Q: Can a patient submit a claim to their insurance for services provided under an Individual Nonbilling Provider Agreement?
A: No, under an Individual Nonbilling Provider Agreement, the patient is responsible for paying the provider directly and cannot submit a claim to their insurance.