Out of Network Billing Services

Maximize reimbursements on out-of-network claims and avoid underpayments.

Out-of-network billing requires specialized expertise to navigate the complex rules around usual and customary rates, balance billing regulations, and No Surprises Act compliance. ZettaRCM's OON specialists ensure you receive fair compensation for every out-of-network service.

What We Provide

Usual and customary rate negotiations

No Surprises Act compliance and IDR process support

Out-of-network benefit verification prior to service

Gap exception and single case agreement negotiations

OON claim submission to all major payers

Underpayment dispute resolution

State-specific OON billing regulation compliance

99.2%

First-Pass Rate

+30%

Revenue Increase

24/7

Support Available

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