In an allowed charges payment method, if a provider's charge is higher than the allowed amount, the provider's reimbursement is based on
A) the amount billed.
B) the amount allowed.
C) the co-insurance.
D) the deductible.

Question

Quizplus · Accepted Answer

The provider's reimbursement is based on the allowed amount, not the higher charge they might have billed. This allowed amount is the maximum amount the insurer will pay for a covered service.

In an Allowed Charges Payment Method, If a Provider's Charge