What is “UCR” in medical billing?

UCR in Medical Billing

UCR stands for Usual, Customary, and Reasonable, referring to the typical charges for medical services in a specific geographic area.

UCR in Medical Billing Explained

In medical billing, UCR rates are used by insurance companies to determine the amount they will pay for out-of-network services. Providers may charge more than the UCR, leaving patients responsible for the difference.

For example, a patient receives an out-of-network service that costs more than the UCR rate, and they must pay the balance.

Explore acronyms and abbreviations in Medical billing glossary.

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