When a physician sees a patient with a managed care referral, the physician is usually allowed to bill charges that insurance does not pay to the patient.

Question

Quizplus · Accepted Answer

In a managed care system, the agreement between providers and the insurance plan typically includes a provision that the provider cannot bill the patient for charges beyond what the insurance agrees to pay, except for copayments and deductibles.

When a Physician Sees a Patient with a Managed Care