Learning Center > Glossary-Terms > Balance Billing

Balance Billing

The practice of billing a patient for the difference between the actual charge and the allowable charge is balance billing. This amount could be in addition to copayments, deductibles, and coinsurance. Balance billing is usually prohibited by managed care plans and in some cases by law.

Note: These definitions are provided only to give you a general understanding of how these words are sometimes used by health insurance companies. Please refer to your coverage documents for a complete list of defined terms that apply to your specific coverage.
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