Question

What term is this: when a provider bills you for the difference between the provider's charge and the allowed amount

a) Balance Billing
b) Preexisting Condition
c) Managed Care
d) Capitation

Answer 1

Balance billing is the term used when a provider bills you for the difference between their charge and the allowed amount.

Step-by-step explanation:

The term for when a provider bills you for the difference between their charge and the allowed amount is Balance Billing. Balance billing occurs when a provider charges you for the remaining amount that your insurance does not cover. For example, if a provider charges $100 for a service, but your insurance only allows $80, the provider may bill you for the remaining $20.