Understanding Out-of-Network (OON) Benefits

Out-of-network benefits allow you to seek care from providers, like Anew, who are not directly contracted with your insurance plan. While you’ll pay for services upfront, you can often submit a superbill to your insurance company for partial reimbursement, depending on your plan.

Getting Started

To file claims and access your benefits, you’ll need:

• A copy of your insurance card
• Your plan’s benefits summary
• Superbills from Anew (available upon request)
• Any Explanation of Benefits (EOBs) from your insurance provider

Resources to Simplify the Process

Navigating insurance can feel overwhelming, but these tools and services can make it easier:

• Insurance Advocates / Medical Billing Specialists: These professionals can assist with:
  • Understanding your insurance plan
  • Submitting superbills
  • Tracking and following up on claims
  • Appealing denials
• Superbill Submission Apps: Platforms like Reimbursify (www.reimbursify.com) offer user-friendly ways to file claims quickly.
• Patient Advocates or Legal Insurance Support: For complex billing issues or repeated denials, consider working with a patient advocate or attorney specializing in health insurance disputes.

Important Note

Reimbursement for out-of-network services is not guaranteed and varies by insurance plan. However, using the resources above can improve your chances of receiving reimbursement and reduce the stress of managing claims.

We’re here to support you every step of the way. If you have questions or need assistance with documentation, please contact our team.