Category: Insurance | Difficulty: Intermediate | Priority: Nice-to-know
Billing a patient for the difference between a provider's charge and the plan's allowed amount when the provider is not required to accept the allowed amount as payment in full.
When a provider bills you for the leftover difference after your plan has paid what it will pay.
[[out-of-network; allowed amount; ucr]]
Many in-network providers agree not to balance bill for covered services under contract
๐ Front Desk