What is “underpayment” in medical billing?

Underpayment in Medical Billing

Underpayment refers to a situation where a healthcare provider is reimbursed less than the amount billed or expected for services rendered.

Underpayment in Medical Billing Explained

In medical billing, underpayments occur when the insurance company does not pay the full amount expected based on the contract or agreement with the provider. This can happen due to incorrect coding, payer policies, or administrative errors.

For example, a provider receives less than the contracted amount for a procedure, resulting in an underpayment that must be corrected.

See common acronyms and abbreviations in Medical billing glossary.

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