Back to glossary
Medical Billing
Usual, Customary & ReasonableUCR
The benchmark an insurer or court uses to judge whether a charge is in line with typical fees for the same service in the same area.
Related terms
Balance Billing
Billing the patient for the difference between the provider's charge and what an insurer or settlement actually paid.
Read definitionExplanation of Benefits
EOBA statement from an insurer showing what was billed, what was allowed, what was paid, and what the patient may owe.
Read definitionLien Reduction
A negotiated decrease in the amount a provider accepts from a settlement, often made when the recovery can't cover every claim in full.
Read definition