Depending on what state you're practicing in, you could face some real challenges when trying to get the insurance contracts you need and want in order to service the people in your community. Whether we like it or not, the overwhelming majority of our patients are paying a handsome sum for their insurance coverage. This means the overwhelming majority of the people within your community will continue to seek providers who are in-network with their insurance carriers. The more you know about how to employ strategies that have worked successfully for others the better your chances are forgetting in-network and servicing those within your community.