Balance billing
Term · Insurance and risk management · MLC-T-INS-000519
The practice by a healthcare provider of charging a patient for the difference between the provider's usual fee and the amount reimbursed by the patient's insurance plan. This occurs when the provider is not contracted with the insurer and the insurer's payment is less than the billed amount. Many states have laws restricting or prohibiting balance billing, especially for emergency services.
| Identifier | MLC-T-INS-000519 |
|---|---|
| Field | Insurance and risk management |
Record as JSON
{
"id": "MLC-T-INS-000519",
"term": "Balance billing",
"field": "Insurance and risk management",
"definition": "The practice by a healthcare provider of charging a patient for the difference between the provider's usual fee and the amount reimbursed by the patient's insurance plan. This occurs when the provider is not contracted with the insurer and the insurer's payment is less than the billed amount. Many states have laws restricting or prohibiting balance billing, especially for emergency services.",
"url": "https://mlchart.com/terminology/insurance/balance-billing/"
}
Record 270 of 3,682 in Insurance and risk management terminology (MLC-0106). Request the full dataset.