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If all else fails, or you’d prefer not to spend the time researching reimbursement, you always have the option to charge the patient directly and forgo reimbursement from a third-party. This may not be ideal, but many patients seem not to mind paying a fee for the added convenience of a telemedicine service. Just make sure that if you are an in-network provider for that patient’s insurance, you have them sign a waiver agreeing not to use insurance for telemedicine visits iv