Insurance and billing

Patient responsibility

Also called patient portion, patient share, co-pay amount

The part of a bill the patient must pay after insurance, including deductibles, copays and uncovered amounts.

Patient responsibility is whatever the patient owes after the insurance plan has paid its share, and this can include the deductible, coinsurance or copay, anything above the annual maximum, and services the plan does not cover. A clear estimate before treatment, plus a note of what was collected, helps avoid disputes. Many offices collect the estimated patient portion at the visit.

Example at the front desk

Your estimated portion is one hundred and forty dollars after insurance, due at checkout.

Sources

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