If your provider bills you for the remaining balance after receiving payment, the member may refer that bill to Insurance Benefit Administrators (IBA) who will initiate the negotiation process.
Send a copy of the bill to IBA to validate that the provider is billing for the remaining balance.
The member is responsible for their out-of-pocket amounts (deductible and coinsurance). However, some members may not be clear on exactly what is being billed by the provider. IBA will research and advise you if the discount has been applied or initiate contact with the provider by the repricing vendor.
If you have questions or concerns, submit your bills to IBA by emailing email@example.com.