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Why Might a Physician Receive Only $185 for a Procedure

Question 17

Multiple Choice

Why might a physician receive only $185 for a procedure for which he billed the insurance company $255?


A) The physician's fee profile has increased since it was set by the company.
B) The insurance company's fee schedule allows only $185.
C) The fee of $225 is above the maximum range charged by the other physicians in the area.
D) All of the above are correct.

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