The amount of money the insurance company pays after an individual’s contribution is slightly lower than the actual cost of the healthcare services. That likely is due to a/an

An adjustment is the difference between a healthcare provider’s billed charge and the lower amount the insurer allows or pays. After the individual’s contribution is accounted for, the insurance payment can still be slightly below the full cost because of this adjustment. A deductible or co-pay is the patient’s share of costs, while a premium is the regular payment for insurance coverage.

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