The amount due from the patient for covered services from a nonparticipating provider is

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When a patient sees a nonparticipating provider, the amount they owe is typically the difference between what the insurance allows for the charge (the allowed charge) and what the physician actually charges, plus any coinsurance or copayment that applies. This is because nonparticipating providers have not agreed to the insurance company's terms and can bill patients for the difference, known as balance billing.

The Amount Due from the Patient for Covered Services from a Nonparticipating