Do insurances only pay a set % of charged? Because in that case hospitals would just charge whatever arbitrary amount they wanted.
I think insurances set hard limits on paying individual types of tasks and procedures. Hospitals and doctors bill whatever they want, insurance pays X that’s allowed, tells the insured what they owe, and the rest is written off by the doctor because no one is obligated to pay it.
Do insurances only pay a set % of charged? Because in that case hospitals would just charge whatever arbitrary amount they wanted.
I think insurances set hard limits on paying individual types of tasks and procedures. Hospitals and doctors bill whatever they want, insurance pays X that’s allowed, tells the insured what they owe, and the rest is written off by the doctor because no one is obligated to pay it.