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CCN’s non-network fee schedule is a method
of repricing all types of non-network claims that
helps clients control plan costs for members
who choose non-network providers. We offer this
schedule in areas where both network access and
choice of providers are optimal.
The non-network fee schedule:
- Delivers real plan savings averaging five
to 10 percent by reimbursing non-network claims
based on the prevalent network rate in a geographic
area.
- Includes geographic-specific price caps for
hospital and professional charges to protect
negotiated rates from inflation.
- Acts as a strong and equitable financial incentive
to channel members into the CCN®
Network.
CCN owns and controls the data used to create
the non-network fee schedule, which is automatically
applied to all non-PPO claims, enabling quick
claims turnaround time.
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