WI · guidance
Wis. ForwardHealth Online Handbook, Hospice, Topic #598
Commercial Fee-for-Service
Fee-for-service commercial health insurance is the traditional health care payment system under which providers receive a
payment for each unit of service provided rather than a capitation payment for each member. Such insurance usually does not
restrict health care to a particular network of providers.
When commercial health insurance plans give the member the option of getting care within or outside a provider network, non-network providers may be reimbursed by the commercial health insurance company for covered services if they follow the
commercial health insurance plan's billing rules.
Provenance
- Source
- www.forwardhealth.wi.gov
- Retrieved
- 2026-10-02
- Edition
- forwardhealth-hospice-2026-10-01
- Content hash
65b2a9507b93bbbc0450d1bdf94aa94b13dc18124c949c4d2b88087bc0ada034
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