The sand in the hourglass has about run out for Northeast Indiana's biggest healthcare provider to reach a new deal with one of the nation’s largest insurers.

A contract between Anthem of Indiana and Parkview Health expires at 11:59pm Tuesday night, meaning that all Parkview doctors, facilities, and services will be considered “out-of-network” for Anthem users unless a new deal is reached.

A statement on the Parkview website says the company is “committed to finding a patient-centered solution,” adding they have presented Anthem with several options that will “lower costs not only for patients but also for employers.”

Money and other financial negotiations have been just a few of the big sticking points as Anthem says Parkview charges them four times what Medicare pays for the same care.