Why might a physician receive only $185 for a procedure for which he billed the insurance company $255?
A)The physician's fee profile has increased since it was set by the company.
B)The insurance company's fee schedule allows only $185.
C)The fee of $225 is above the maximum range charged by the other physicians in the area.
D)All of the above are correct.

Question

Quizplus · Accepted Answer

The physician may not receive the amount charged based on numerous regulations and stipulations of the various insurance companies.

Why Might a Physician Receive Only $185 for a Procedure