A provider of healthcare services to which BCBSKS has offered a contract and the provider has elected not to sign the contract. Reimbursement for services rendered by a non-contracting provider is made to the patient even when the provider has submitted the claim. The patient may not assign the payment to the non-contracting provider.
The patient is responsible for amounts in excess of the MAP. The provider may collect for all services at the time of service. This does not apply to those providers that we do not contract with their provider type, i.e. registered nurses, licensed practical nurses, opticians or hearing aid dispensers