If your provider bills you for any portion of the discount, 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 the provider is billing for the discount.
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 email firstname.lastname@example.org.