What is “non-covered charges” in medical billing?

Non-Covered Charges in Medical Billing

Non-covered charges are services or procedures that are not paid for by a patient’s insurance plan.

Non-Covered Charges in Medical Billing Explained

In medical billing, non-covered charges are the financial responsibility of the patient. These charges can occur when the service is excluded from the insurance policy or deemed medically unnecessary by the insurer.

For example, a patient’s insurance plan does not cover elective cosmetic surgery, so the full cost of the procedure becomes a non-covered charge that the patient must pay out of pocket.

Explore acronyms and abbreviations in Medical billing glossary.

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