Copay Meaning In Medical Billing

02-05-2021

Copay Meaning In Medical Billing

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The billing provider is not eligible to receive payment for the service billed. Start:: 300: Claim received by the Medical Plan, but benefits not available under this plan. Claim has been forwarded to the patient's Behavioral Health Plan for further consideration. A fixed amount ($20, for example) you pay for a covered health care service after you've paid your deductible. Let's say your health insurance plan's allowable cost for a doctor's office visit is $100. Your copayment for a doctor visit is $20. A copay (technically short for copayment) is a term often used related to the payment for services or product in the Health Care industry. A customers “Copay” is demanded/expected before receiving care or product. For example if there is a $20.00 copay for a MD Pysical. You must fork over the $20 before the doctor will see you.

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Can You Bill Copay

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copayment

(kō′pā′mənt)n.

A specified sum of money that patients covered by a health insurance plan pay for a given type of service, usually at the time the service is rendered.

co·pay·ment

, copay

Insurance Copay Meaning

(kōpā-mĕnt, kōpā)

A fixed or set amount paid for each health care or medical service; the remainder is paid by the health insurance plan. In common parlance, copay is the term used.
See also: coinsurance, cost sharing
Synonym(s): out-of-pocket costs, out-of-pocket expenses.

Medical Dictionary for the Health Professions and Nursing © Farlex 2012

co·pay·ment

, copay

(kōpā-mĕnt, kōpā)

That portion of a dental care charge for which the patient herself, rather than a third party payor (i.e., insurer), is responsible.

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