What is “adjustment amount” in medical billing?

Adjustment Amount in Medical Billing

The adjustment amount in medical billing refers to the portion of a billed service that is not covered by the payer and is written off by the provider.

Adjustment Amount in Medical Billing Explained

In medical billing, the adjustment amount represents the difference between the amount billed by the healthcare provider and the amount the insurance company agrees to pay based on contracted rates. This amount is typically written off by the provider and not charged to the patient.

For example, if a provider bills $1,000 for a procedure but the insurance allows $800, the $200 difference is the adjustment amount.

Learn about acronyms and abbreviations in Medical billing glossary.

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