Cpap Insurance Claims with online Out of Network Providers

Not how it works.

Krelvin wrote:Not how it works.

You shouldn't make such blanket statements like that.

https://www.cpap.com/cpap-faq/Insurance.html


Den

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???

I have private insurance, not Medicare, Medicaid. I have in the past been reembursed for purchases from cpap.com at out-of-network rates. As the page you provided states:

The pre-populated form may be used to seek reimbursement from your insurance company. CPAP.com is out of network for private insurance companies.

Which matches my examples. I stated up front, I was providing an example that I had recently used.

My comment: That is not how it works was related to your comment:

If YOU submit an invoice to your insurance provider, then YOU are a "vendor". If you're also an insured member, then it should be logical that YOU are in-network as well.

But you are NOT the vendor. You are submitting an invoice to your insurance provider "from a vendor which is out-of-network". Which is why I responded that is not how that works.

Krelvin wrote:???

I have private insurance, not Medicare, Medicaid. I have in the past been reembursed for purchases from cpap.com at out-of-network rates. As the page you provided states:

The pre-populated form may be used to seek reimbursement from your insurance company. CPAP.com is out of network for private insurance companies.

Which matches my examples. I stated up front, I was providing an example that I had recently used.

My comment: That is not how it works was related to your comment:

If YOU submit an invoice to your insurance provider, then YOU are a "vendor". If you're also an insured member, then it should be logical that YOU are in-network as well.

But you are NOT the vendor. You are submitting an invoice to your insurance provider "from a vendor which is out-of-network". Which is why I responded that is not how that works.

Anyone submitting a valid invoice to a company becomes a "vendor" in the accounts payable system for the purpose of payment.


Den

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