Medical Billing Glossary
Boost Your Knowledge
Whether you’re an experienced biller or brand new to the role, these 15 commonly used terms will help you choose a Medical Billing system that meets your needs—and take advantage of its best features.
The maximum amount an insurance company will pay for a covered healthcare service. It is also known as an “eligible expense” or “negotiated rate.” If a provider charges more than the allowed amount, the patient typically pays the balance beyond what the insurance company pays.