Insurance Provider Delisting: What Healthcare Professionals Need to Know

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

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

We routinely assist regulated professionals with delisting issues with insurance companies.