Understanding the ‘Total Amount Billed’ on your medical claim.

Modified on Mon, 10 Nov at 5:14 PM

Total Billed (or Total Amount Billed) refers to the full amount your healthcare provider submitted to your insurance company for the services you received.


This is not necessarily the amount you will owe. What you ultimately pay depends on several factors, including:

  • Insurance coverage

  • Deductible and co-insurance

  • In-Network (INN) vs. Out-of-Network (OON) status

  • Pre-authorization requirements

  • Other plan-specific rules and benefits outlined in your Health Insurance Plan

Understanding this amount helps you verify billing accuracy and ensure your claims are processed correctly.

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