188k views
3 votes
The insurance phrase which considers a particular fee charged by a physician, dentist, or other health professional is?

1 Answer

6 votes

Final Answer:

The insurance phrase which considers a particular fee charged by a physician, dentist, or other health professional is "Usual, Customary, and Reasonable" (UCR).

Step-by-step explanation:

"Usual, Customary, and Reasonable" (UCR) is a term commonly used in health insurance to determine the appropriate amount that will be covered for a particular medical service. It refers to the customary charge for a specific medical service in a particular geographic area, considering what is usual and reasonable for similar services. If a healthcare provider charges a fee that is within the UCR limits, the insurance plan is more likely to cover a significant portion of the cost.

Understanding UCR is important for both healthcare providers and insurance policyholders, as it helps determine the coverage and reimbursement for medical services.

User Nathan Strutz
by
7.5k points