New Resource

Action Plans & Ebooks

Billing + Collections + Compliance + Audits

Proper Methods To Verify Out-Of Network (OON) Health Insurance Benefits

Proper Methods To Verify Out-Of Network (OON) Health Insurance Benefits

Follow These Steps To Learn The Proper Method To Verify Out-Of-Network Health Insurance Benefits

...truly the best appeals specialists
that I have ever encountered in the industry...

~ Long Island Eye Surgical Centers

...have been the key to
fighting my appeals when these cases were going nowhere...

~ Dimitri Koumanis, MD

...are, without question, the
foremost insurance appeals authority in the industry...

~ Medicomp, Inc.

Applying a medical eligibility form can save your practice a substantial amount of time and money.

Provide your patients a clear picture of what they should expect to pay before undergoing treatment.

Download our checklist to learn the proper methods for determining a new patient's out of-network Health Insurance benefits.

Audit Warning for Out-Of-Network Practices
Proper Methods To Verify Out-Of Network (OON) Health Insurance Benefits

Meet The Author

Thomas J. Force, Esq. is a nationally recognized expert and frequent speaker on managed care issues, managed care contracting, managed care appeals, ERISA and out-of-network reimbursement issues. He has been a licensed attorney since 1994 in both state and federal courts in New Jersey and New York, with 27 years of experience in the healthcare and insurance industries.

He is the president and founder of The Patriot Group, a full-service healthcare physician advocacy and revenue recovery company providing billing, appeals, collections and follow-up services for healthcare. Thomas is also the former CEO, general counsel and chief compliance officer of a small New York-domiciled health insurer, a former chief operating officer, general counsel and chief compliance officer of a large East Coast billing, collections and healthcare consulting company, and a former co-chair of the Health & Hospital Law Committee of the Suffolk County Bar Association. 

Thomas recently presented on ERISA-related issues to the American College of Osteopathic Surgeons in Las Vegas and to the Medical Society of New Jersey.