Join Our Healthcare Provider Network
Healthcare providers can join the Rural Health Net healthcare provider network to connect with members seeking affordable healthcare services through a Discount Health Care Program.
Why Providers Participate
A Practical Alternative to Insurance Billing Complexity
Participating in our provider discount network allows health care professionals to increase patient volume while reducing administrative burden. Our model is designed specifically for providers who want predictable, direct transactions without payer interference.
What You Gain
Increased Patient Volume
Members actively search our provider directory listing to find participating clinicians. This brings incremental cash-pay patients to your practice particularly uninsured and high-deductible individuals.
Direct Payment
Members pay providers directly at the time of service. There are:
No reimbursement delays
No third-party collections
No bad debt risk related to claims
No Claims Submission
There is no insurance billing process, no claims submission, and no utilization management. You maintain your normal internal billing structure without payer oversight.
Administrative Simplicity
Participation does not involve insurance credentialing, pre-authorizations, or claims-based coding requirements beyond standard practice workflows.
Simple Participation Model
How to Participate as a Provider
Our participation structure is straightforward and contract-based. This structure reflects the legal definition of a discount health care program and avoids insurance-like payment models.
1. Agreement
Sign a written participation agreement outlining discounted services, pricing terms, and the conditions of participation within the provider discount network.
2. Set Rates
Establish your own discounted rates for approved services. You retain control over pricing and may limit which services are offered at discounted levels.
3. Member Visit
Members present their membership information at the time of service so your staff can verify participation and apply the agreed-upon discounted rate.
4. Direct Payment
Collect payment directly from the member at the agreed discounted rate at the time of service. There is no claims submission and no billing to Rural Health Net.
Provider Autonomy
You Control Participation
Unlike traditional insurance contracts, participation in our provider discount network allows flexibility:
Set and agree to your own discount levels
Limit participation to specific services
Restrict participation to certain locations
Modify or terminate participation per agreement terms
Discounts are contractual but not payer-imposed. You maintain professional independence and operational control.
Compliance & Transparency
Structured Under Applicable
State Law
Rural Health Net operates as a discount health care program and complies with applicable state regulations, including required disclosures and marketing standards. Key structural elements include:
Written provider agreements
Clear disclosure that the plan is not insurance
Maintenance of an updated provider directory listing
Oversight of marketing practices to prevent misrepresentation
No claim payment obligations
Members are responsible for paying providers directly for all services received. This regulatory structure protects both providers and members by maintaining clarity around roles and payment responsibilities.
Federal Compliance Considerations
Aligned With Federal Safe Harbor Principles
Rural Health Net’s model is structured consistent with federal Anti-Kickback Statute Safe Harbor principles. The program does not involve referral payments, revenue-sharing arrangements, or compensation tied to the volume or value of services reimbursed by federal health care programs.
Providers establish their own discounted rates and are paid directly by members at the time of service. There is no claims submission and no reimbursement model.
Participation does not alter Medicare, Medicaid, or commercial payer contracts. Providers maintain full professional and contractual independence.
Ideal Provider Partners
Who Typically Participates
Our network is particularly valuable for:
Independent primary care practices
Rural clinics
Specialty providers
Dental and vision providers
Diagnostic and ancillary service providers
Providers serving self-pay populations often find that participation strengthens community access while improving payment predictability.
Common Provider Questions
Clear Answers for Clinical Practices
Will I get paid?
Yes. Members pay providers directly at the time of service. There is no reimbursement model.
Is this insurance?
No. Rural Health Net is not insurance and does not pay claims
Will this interfere with my payer contracts?
Participation typically applies to self-pay members and does not replace or modify your Medicare, Medicaid, or commercial payer agreements when structured appropriately.
Do I need to submit claims?
No claims submission is required.
How are patients referred?
Members search our provider directory listing and select participating providers directly.
Supporting Access to Care
Strengthening Rural & Underserved Communities
Participation in a provider discount network can:
Increase affordable access to care
Reduce financial barriers for uninsured patients
Support continuity of care in rural areas
Improve community goodwill
The model encourages predictable pricing expectations and reduces post-service billing disputes
Interested in Participating?
Join Our Provider Discount Network
Offer transparent discounted rates.
Reduce administrative hassle.
Receive direct payment at time of service.