American Medical Network Contractor Profile
States Applicable: All States
Reimbursement: Fee for Service at time of visit.  AMN offers two payment options to G2BN members.  Members must choose either the tiered or global payment schedule for their contract.

Tiered Visit Payment Schedule

• Tier A Visit = $130
• Tier B Visit = $170
• Tier C Visit = $ 200

Or

Global Payment Schedule

• All AMN Patient Visits = $165

Be sure to review the AMN Participating Provider Agreement in its entirety for services by Tier level.

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MIRA Contractor Profile
States Applicable: Initial focus markets are Dallas, TX, NYC and CA, but will also work with other large US Markets.
Reimbursement: Fee for service at time of visit with virtual credit card payable to the center.  Payments are based on the acuity of the covered service.

Level I - Covered Services = $112.00

Level II - Covered Services = $40.00

Be sure to review the MIRA Participating Provider Agreement in its entirety for services detail by level.

MIRA  | New York, NY | 872-222-8505 | Partnership@talktomira.com

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