Category: Insurance | Difficulty: Intermediate | Priority: Nice-to-know
The amount paid for a service in a geographic area based on what providers usually charge for the same or similar service; often used to determine the plan's allowed amount.
A typical or average fee your plan thinks is reasonable for a service in your area, used to decide how much it will pay.
[[allowed amount; fee schedule; balance billing]]
Important for explaining why out-of-network claims may leave a remaining balance for the patient
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