{"id":145026,"date":"2022-02-04T07:49:49","date_gmt":"2022-02-04T07:49:49","guid":{"rendered":"https:\/\/www.healthbenefitstimes.com\/glossary\/?p=145026"},"modified":"2022-02-04T07:49:49","modified_gmt":"2022-02-04T07:49:49","slug":"out-of-network-provider","status":"publish","type":"post","link":"https:\/\/www.healthbenefitstimes.com\/glossary\/out-of-network-provider\/","title":{"rendered":"Out-of-network provider"},"content":{"rendered":"<p>A provider who is not under contract with or a member of a managed care organization (MCO). Under some health care financing arrangements, the MCO must permit beneficiaries to use out-of- network providers, for whose performance (services provided, cost, quality) the MCO is then is held responsible. There is at present no legal method by which the MCO can carry out this responsibility.<\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A provider who is not under contract with or a member of a managed care organization (MCO). Under some health care financing arrangements, the MCO must permit beneficiaries to use out-of- network providers, for whose performance (services provided, cost, quality) the MCO is then is held responsible. There is at present no legal method by [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15],"tags":[],"class_list":["post-145026","post","type-post","status-publish","format-standard","hentry","category-o"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Out-of-network provider - Definition of Out-of-network provider<\/title>\n<meta name=\"description\" content=\"A provider who is not under contract with or a member of a managed care organization (MCO). Under some health care financing arrangements, the MCO must permit beneficiaries to use out-of- network providers, for whose performance (services provided, cost, quality) the MCO is then is held responsible. There is at present no legal method by which the MCO can carry out this responsibility.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.healthbenefitstimes.com\/glossary\/out-of-network-provider\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Out-of-network provider - Definition of Out-of-network provider\" \/>\n<meta property=\"og:description\" content=\"A provider who is not under contract with or a member of a managed care organization (MCO). Under some health care financing arrangements, the MCO must permit beneficiaries to use out-of- network providers, for whose performance (services provided, cost, quality) the MCO is then is held responsible. 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