What your insurance company does not pay, including deductibles, co-insurances and charges for non-covered services. Outpatient surgery or surgery that does not require an overnight hospital stay. Call your insurance company for more information. The combined total paid by you and your insurance to a provider should not exceed the allowed amount when we are in-network with your plan. This amount is usually less than the amount billed by the provider and is determined by pre-negotiated contracts or regulations. The notice is given to you so that you may decide whether to have the treatment and how to pay for it.ĭetermined by your insurance to be the amount your provider is due for a particular service. Words or phrases your doctor uses to describe your condition.Ī notice your provider gives you before you are treated, informing you that Medicare will not pay for the treatment or service.
The portion of your bill that your provider has agreed to write off. The number assigned by your provider (hospital, physician, home care service, etc.) when medical services were provided.
