Balance bill means a bill sent to an enrollee by ((an out-
Balance bill means a bill sent to an enrollee by an out-of-network provider or facility for health care services provided to the enrollee after the provider or facility's billed amount is not fully reimbursed by the carrier, exclusive of permitted cost-sharing.
Balance bill means seeking: to bill, charge, or collect a deposit, remuneration or compensation from; to file or threaten to file with a credit reporting agency; or to have any recourse against an enrollee or any person acting on the enrollee’s behalf for health care costs for which the enrollee is not liable. The prohibition on recovery does not affect the liability of an enrollee for any deduc- tibles, coinsurance or copayments, or for premiums owed under the policy or certificate.
Examples of Balance bill in a sentence
The CONTRACTOR and CONTRACTOR provider will not Balance Bill the Enrollee and will consider the reimbursement from Medicare and from the CONTRACTOR payment in full.
More Definitions of Balance bill
Balance bill means a bill sent to an enrollee by a
Balance bill means a bill sent to an enrollee by an out-of-network provider for health care services
Balance bill means the amount that:
Balance bill means a bill sent to an enrollee by an out-of-network provider for health care services provided to the enrollee after the provider's billed amount is not fully reimbursed by the carrier, exclusive of applicable cost-sharing requirements.
Balance bill means the amount that a nonparticipating provider may charge the covered person. Such amount charged equals the difference between the amount paid by the carrier and the amount of the nonparticipating provider's bill charge.
Balance bill means the practice of billing patients for charges that exceed the amount that the MCO will pay.