Usual, Customary and Reasonable


  • The fees that a medical treatment generally costs and how much an insurer is willing to pay for that treatment. Usual, customary and reasonable fees (UCR) are split into three parts. "Usual fees" are what the medical professional normally charges for a given procedure, "customary fees" are what the insurer is willing to pay for a given procedure, and "reasonable fees" are fees the medical professional may charge when a procedure has complications or unusual circumstances.

In relation to medical fees.


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