NRCCS Practice Exam 2025 – Complete Study Resource

Question: 1 / 400

What do patients owe after the insurance company has made a payment?

Deductible

Subscriber liability

The amount that patients owe after the insurance company has made a payment is referred to as subscriber liability. This term encompasses the financial responsibilities that the insured individual (the subscriber) must fulfill after the insurance provider has processed a claim. This could include deductibles, co-payments, and any remaining balance after coverage is applied.

To clarify, deductible refers to the amount that must be paid by the insured before the insurance company begins to pay. Co-payment, on the other hand, is a fixed amount that the insured pays for a specific service or medication at the time of receiving care. Usual fee pertains to the typical charge for a service within a particular geographic area, which could be relevant in determining how much insurance will cover, but does not directly relate to what patients themselves owe post-payment.

Therefore, subscriber liability serves as the broad category that captures all the financial responsibilities remaining for the patient after insurance has processed a claim, making it the correct choice in this context.

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Co-payment

Usual fee

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