Most patients assume that choosing an in-network hospital means their care will be covered. It's not that simple — and the gap between credentialing, privileging, and payer enrollment is why. Our VP of Marketing Lauren Mitri Abalos breaks it down in her latest piece, drawing on her own experience navigating the bills behind two deliveries. Worth a read whether you've lived this as a patient or work in healthcare operations.👇
I posted last week about navigating women's healthcare as a mom. Turns out I'm not alone. Families doing everything right and still ending up on the phone with insurance and billing departments weeks after coming home with a newborn. So I wrote the follow-up. Four bills for one hospital stay. Two more for one pediatric ED visit. And the thing nobody explains — how credentialing, privileging, and enrollment actually work, and why roughly 1 in 5 families who deliver at an in-network hospital still end up with an out-of-network bill. Read the full article below 👇