I accept medicare and other insurance standards because the patients need care.

A lot of providers are turning away medicare patients because of the effort it takes to get paid very little and the ever increasing medicare audits. I wouldn't be surprised if all carriers will pay like medicare in the near future.

On a different note, there are doctors out there who have cash only practices and will give the patient a superbill in which they give to their carrier and the carrier will pay them. The doctor gets full payment at the time of service and the patient accepts a partial payment back from the their insurance company.