Which term represents the total of charges on the claim sent to the payer?

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Multiple Choice

Which term represents the total of charges on the claim sent to the payer?

The total of charges on the claim sent to the payer is the billed amount. This is the full charge a provider assigns for the services before any reductions or negotiations, serving as the starting point for the claim. The allowed amount is what the payer agrees to reimburse under the contract (usually less than the billed amount), the paid amount is what the payer actually pays, and the expected amount isn’t the standard term used for this purpose.

The total of charges on the claim sent to the payer is the billed amount. This is the full charge a provider assigns for the services before any reductions or negotiations, serving as the starting point for the claim. The allowed amount is what the payer agrees to reimburse under the contract (usually less than the billed amount), the paid amount is what the payer actually pays, and the expected amount isn’t the standard term used for this purpose.

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