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Transparency in Provider Networks & Coverage

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The AMA is committed to improving transparency in health insurance, including in health care benefits, coverage and provider networks. Transparency allows patients to make informed decisions about their care.

Out-of-Network Benefits

The AMA believes information about out-of-network coverage should be conveyed in transparent, simple and accurate terms so that patients understand their rights and responsibilities.

Network Adequacy

Provider networks must contain sufficient numbers of contracted physicians and other health care providers in each specialty and geographic region to enable patients to obtain timely access to all necessary medical care from contracted providers.

Accurate Provider Directories

Provider directories must be accurate and comprehensive so patients have all the information they need to make informed decisions about their health care and health insurance, including whether providers are in- or out-of-network and whether physicians are accepting new patients.

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