Health and Life Insurance

Category - Health and Dental

The __________ fee is the amount that an insurance company will actually pay a dentist for a particular procedure.
  1. Yearly maximum
  2. Usual, customary, and reasonable
  3. Deductible
  4. Coinsurance
Explanation
Answer: B - The usual, customary, and reasonable (UCR) fee is the amount that an insurance company will actually pay a dentist for a particular procedure. Using this, a price is typically set by the dental insurance company. As an example, if a dentist charges $100 for a certain type of service, the insurance company may actually determine that $75 is "usable, customary and reasonable," and will therefore cover only that amount of the charge.
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