Insurance Provider Delisting: What Healthcare Clinics Need to Know

In recent years, insurance companies have taken measures to delist healthcare clinics that employ health care professionals from benefits claims processing and reimbursement due to fraud. Insurance companies are increasingly concerned with healthcare clinics issuing false claims and taking advantage of benefits available under group plans. Delisting is becoming more common in many healthcare clinics and involves healthcare professionals including, but not limited to, dentists, chiropodists, podiatrists, massage therapists, physiotherapists, naturopaths, psychotherapists and psychologists.

As a healthcare clinic, becoming delisted with a major insurance company may have significant adverse effects on your practice. Delisting may also be accompanied by a complaint to the healthcare professional’s regulatory college.

We routinely assist healthcare clinics with delisting issues at insurance companies.