Balance Billing in Medical Billing
Balance billing is the practice of billing a patient for the difference between the provider’s charge and the amount reimbursed by the insurance company.
Balance Billing in Medical Billing Explained
Balance billing happens when a healthcare provider charges a patient for the remainder of the bill not covered by the insurance company. In-network providers generally cannot balance bill, as they have agreed to accept the insurance company’s negotiated rates as full payment.
For example, a patient receives a bill for $200, which is the difference between the provider’s charge and the insurance company’s allowed amount.
Explore acronyms and abbreviations in Medical billing glossary.
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