Balance bill definition

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

• Thereafter if work progress not improved, the work shall be terminated with forfeiture of EMD Security Deposit and Balance bill payments if so due and balance work shall be completed at risk and cost basis contract.

• The reimbursement amount for non-participating dentists is calculated using Delta Dental’s Premier network amount, and then limited to the applicable percentage outlined in the summary chart above.Out of network or non-participating dentists may:• "Balance bill" you up to their full fees.

• Balance bill does not apply because the claim is paid upon billed charges.

• Shared revenues—oil and gas: In order to appease the demands from oil and gas producing regions, the Fiscal Balance bill was revised in Parliament to include sharing of onshore oil and gas revenues with the region.

• The Labour Market in Balance bill, currently being reviewed by parliament, could mark the introduction of much needed repairs.

More Definitions of Balance bill

Balance bill means a bill sent to an enrollee by an out-of-network provider for health care services

Balance bill means a bill sent to an enrollee by a

Balance bill means a bill for healthcare services, other than emergency services, received by:

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 CONTRACTOR will pay.