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 a bill sent to an enrollee by an out-of-network provider for health care services
Examples of Balance bill in a sentence
Balance bill does not apply because the claim is paid upon billed charges.
More Definitions of Balance bill
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-
Balance bill means a bill sent to an enrollee by a nonpar- ticipating provider, facility, behavioral health emergency services provider or air ambulance service provider 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 cost-shar- ing allowed under WAC 284-43B-020.
Balance bill means a bill sent to an enrollee by a
Balance bill means the amount that:
Balance bill means a bill for healthcare services, other than emergency services, received by:
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 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 insured or any person acting on the insured’s behalf for health care costs for which the insured is not liable. The prohibition on recovery does not affect the liability of an insured for any deductibles, coinsurance or copayments, or for premiums owed under the policy or certificate.