Also called: surprise billing
Balance billing happens when a provider charges you the difference between their full fee and the lower amount your plan considers allowable. It most often arises with out-of-network care. Federal and state surprise-billing protections now block balance billing in many emergency and unexpected situations, but not all.
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Disclaimer: This definition is provided for general educational purposes only and is not legal, medical, or insurance advice. Insurance rules, deadlines, and terminology vary by plan, state, and over time. Always check your own plan documents and confirm current details before acting.