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Which of the following statements BEST defines usual, customary, and reasonable (UCR) charges?

Options:
A) The maximum amount considered eligible for reimbursement by an insurance company under a health plan.
B) The minimum amount set by healthcare providers for their services.
C) The average cost of a medical procedure or service within a specific geographical area.
D) The discounted rate negotiated between healthcare providers and insurance companies.

User Oscaroscar
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1 Answer

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Final answer:

UCR charges constitute the maximum reimbursement level that an insurance company will cover under a health plan, based on average local fees for services.

The correct option is A.

Step-by-step explanation:

The Usual, Customary, and Reasonable (UCR) charges refer to the maximum amount that an insurance company considers eligible for reimbursement under a health plan.

This amount is typically based on the average cost of a medical procedure or service within a specific geographical area.

The UCR charges are not to be confused with the minimum fees set by healthcare providers or the discounted rates negotiated between providers and insurers.

The correct option is A.

User Gaffi
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