INBDE (Integrated National Board Dental Examination) Practice Exam

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What does balanced billing involve in dental practice?

  1. Charging the patient the insurance deductible

  2. Charging the patient for services insurance does not cover

  3. Dentist charges the patient the difference between the insurance plan agrees to pay and the dentist's UCR

  4. Refusing insurance and charging the patient full price

The correct answer is: Dentist charges the patient the difference between the insurance plan agrees to pay and the dentist's UCR

Balanced billing in dental practice involves the dentist charging the patient the difference between what the patient's insurance plan agrees to pay and the dentist's Usual, Customary, and Reasonable (UCR) fee. This practice ensures that the patient is responsible for the portion of the fee that exceeds what the insurance company is willing to cover. Option A is incorrect because charging the patient the insurance deductible is not specifically related to balanced billing in this context. Option B is also incorrect because charging the patient for services not covered by insurance is different from balanced billing. Option D is incorrect as it describes a scenario where the dentist does not accept insurance and charges the patient the full price, which is not synonymous with balanced billing.

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