Question

Many insurers pay benefits based on the average fee charged in a geographical area. This is referred to as which of the following
A. Reimbursement
B. Usual, Customary, and Reasonable
C. Scheduled
D. Cash

Answer 1

Answer:

C, Usual, Customary, and Reasonable.

Explanation:

Usual, customary and reasonable (UCR) fees are fees payed by insuraance policy (health) has to pay for services rendered. The UCR fees are mostly a function of services provided to policy holders and area where the service is rendered.

For a fee to be considered usual, customary and reasonable, it must be a usually charged fee, it must fall within

BREAKING DOWN Usual, Customary and Reasonable Fees

price range charged in the area and it mustbe a for a service considered necessary.

I hope this helps.