Opinions expressed are those of the author. Provider network intelligence (PNI) technology represents a revolutionary approach to network management that combines artificial intelligence ...

Twenty-six rural hospitals in Ohio and West Virginia formed a clinically integrated network, similar to providers in North ...

Or they may be covered but with higher out-of-pocket costs than the member would pay for same care received from an in-network provider.” In addition, “the federal cap on out-of-pocket costs ...

In most cases, a person does not need to file for reimbursement when using a provider contracting with Original Medicare. This is more likely with Part C plans requiring an in-network provider.