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One of the biggest early questions for a therapy practice is: “Should I go in network, stay out of network, or try some kind of hybrid?” It’s not just a philosophical question. It affects: Your rates How full your schedule is How much admin/billing work you’re signing up for How fast money actually shows up This post is for practice owners , not patients. I’m talking to: PT / OT / SLP and rehab practices Mental health practices and groups Chiropractic, acupuncture, and massag

If you run a small therapy practice, you’ve probably said (or heard): “We’re out of network, but we can give you a superbill and you can submit it to your insurance.” What that usually means in real life is: nobody really knows what will happen next, the patient is confused, and you’re crossing your fingers it somehow works out. What “Out-of-Network” Really Means When you’re in network , you’ve signed a contract with the insurance company. They tell you exactly: What they’ll