re: Question about interstate competition amongst insurance companies...

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The policy in Louisiana should have to help cover those expenses, right.

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Yes. Even now I accept out of state insurance payments for our patients. I take BCBS Louisiana, in Texas, right now.

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. Inside a physicians office it's already insanely tough to 1) find if this person is insured, has Medicaid or Medicare etc 2) to know if the policy in place and if the insured has changed companies 3) Because I know and can imagine how time consuming it is all going to be dealing with various insurance companies outside the state makes me worried.

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No different then verifying any other patient. Not a big deal.

The big deal is what the earlier poster mentioned. Uniform regulations from state to state that will more easily allow insurers to comply with each state's regulations.