Hello. Can someone help me? Our office is out of network with a few insurance companies which causes us to request a Gap Exception/Waiver , which authorizes us to be in network for a certain procedure they need. My question is, are we able to balance bill after insurance pays? The explanation of benefits usually states the patient responsibility is zero or just the copay, although I am being told I can tell the insurance company we want to balance bill them when requesting the gap? I thought the reason to get the waiver was to minimize patient responsibility?