When a provider bills you for the difference between the provider’s charge and the allowed amount. For example, if the provider’s charge is $100 and the allowed amount is $70, the provider may bill yo [..]

The practice of medical care providers (such as doctors, hospital, or other medical practitioner) billing the insurer for full costs, then billing the insured (patient) for the portion of the bill that was not paid by the insurer. Many health plans prohibit the use of balance billing and may use sanctions against providers who balance bill.

The amount you could be responsible for (in addition to any co-payments, deductibles or coinsurance) if you use an out-of-network provider and the fee for a particular service exceeds the allowable ch [..]

When a provider bills you for the difference between the provider’s charge and the allowed amount. For example, if the provider’s charge is $100 and the allowed amount is $70, the provider may bill you for the remaining $30. A preferred provider, one that is participating in your insurance company’s provider network, may not balance bill you for co [..]

Billing a patient for the difference between the dentist's actual charge and the amount reimbursed under the patient's dental benefit plan.

The practice of billing injured employees for the portion of medical bills that the employer or the insurer refuses to pay. This practice is banned in all but a few states.

When a doctor bills you for the difference between what they charged and the amount that’s allowed by your plan.

Balance billing occurs when a participating dentist bills an enrollee for amounts disallowed by Delta Dental

A process whereby the provider bills a patient for the difference between the provider's charge and the amount of payment already received by the provider from a third party payer other than for co-pays, co-insurance or deductibles.

Balance billing is the practice of billing a patient for charges not paid by his/her insurance plan because the charges are in excess of covered amounts. Balance billing amount will often be charges t [..]

The practice of billing a patient for the fee amount remaining after insurer payment and co-payment have been made. Under Medicare, the excess amount cannot be more than 15 percent above the approved [..]

Doctors or hospitals sometimes do this. They bill patients to make up the difference between their usual fee and the amount they are paid by the health plan. Doctors and hospitals that work with Aetna [..]

Doctors or hospitals that do not charge the fees Medicare approves sometimes do this. They bill patients to make up the difference between the approved fee and the top amount allowed by Medicare. The [..]

Balance billing is the practice of a provider billing you for all charges not paid by your insurance plan, even if those charges are above the plan's usual, customary and reasonable (UCR) charges [..]

When a doctor or hospital bills the patient for the difference between the bill charges and the allowed amount.

The process of billing a member the difference between the fee amount that the participating doctor or hospital negotiated with the insurer and that doctor's or hospital's usual fee for a service or supply. Participating doctors and hospitals agree not to bill the member for the difference between these two amounts.

This defines the amount that the insured has to pay for from his pockets. This includes expenses from medical service received from an out of network provider.

When a provider bills you for the difference between the provider’s charge and the allowed amount. For example, if the provider’s charge is $100 and the allowed amount is $70, the provider may bill you for the remaining $30. Providers who are “in-network” may not balance bill you for covered services.

When a provider bills you for the difference between the provider’s charge and the allowed amount. For example, if the provider’s charge is $100 and the allowed amount is $70, the provider may bill yo [..]

Dentist fees that the insured enrollee is billed for amounts above the enrollee’s portion of the coinsurance.

When a provider bills you for the difference between the provider’s charge and the allowed amount. For example, if the provider’s charge is $100 and the allowed amount is $70, the provider may bill yo [..]

This will occur when a provider (doctor or medical/dental service) bills you for the difference between the amount they charge and the allowed amount (the amount the doctor agrees to accept as payment in full if they are under contract with an insurance company). For example, if the provider’s charge is $100 and the allowed amount is $70, the provi [..]

The practice of a provider billing a patient for all charges not paid for by the insurance plan, because those charges are above the plan’s UCR (usual, customary, and reasonable) practice or may be considered medically unnecessary; plans are increasingly prohibiting providers from balance billing except for allowed copays, coinsurance, and deductib [..]

When a provider sends you a bill for the difference between their charge and the allowed amount. For example, if the provider’s charge is $100 and the allowed amount is $70, the provider may bill you for the remaining $30. A preferred provider may not bill you for the difference of a covered service.

Balance billing, sometimes called surprise billing, is a medical bill from a healthcare provider billing a patient for the difference between the total cost of services being charged and the amount t [..]