Non-designated provider
The scheme says the provider you used is not one it designated for this service.
Words you might see
- “not a designated service provider”
- “non-DSP”
- “outside the scheme's provider network”
Questions to ask
- Which designated service providers were available to me for this service on the date of service?
- By what means, and on what date, was I notified of that designation before the date of service?
- Please provide the co-payment schedule the scheme applied, as it stands for my option this year.
- Was the service obtained in circumstances the scheme accepts as involuntary, and if not, on what basis?
Details to have ready
- Whether you had a choice of provider, or the service was an emergency.
- Whether the scheme told you who its designated providers were before the service.
Pryse is not a law firm and does not act for you. Nothing here is a determination of your rights or legal advice, and no registered scheme rule is quoted. The questions ask your scheme to provide its own.