Question

What does it mean when a provider accepts as payment in full whatever the payer reimburses?

a) Negotiated Payment Agreement
b) Full Reimbursement Acceptance
c) Acceptance of Partial Payment
d) Assignment of Benefits

Answer 1

Assignment of Benefits is when a provider agrees to accept the insurance reimbursement as full payment for services, not billing the patient for any remaining balance.

Step-by-step explanation:

When a provider accepts as payment in full whatever the payer reimburses, it is known as Assignment of Benefits. This means that the healthcare provider agrees to accept the amount paid by the insurance as the total fee for services provided. If the insurance reimburses less than the provider's usual fee, they agree not to charge the patient the difference. Providers often have an agreement with insurance companies to accept the contracted rate as the full payment for services rendered to their members.