1. In third-party payer cases, this is the amount the provider bills the patient after the insurance payment has been posted. This amount may be the copayment and deductible and also the difference between the physician’s fee for medical services and the amount paid by the insurance company. 2. In Medicare cases, the participating physician accepts the Medicare-allowed amount and the patient may not be billed for the balance. The balance difference is not collected and an adjustment entry is posted to the patient’s financial account. However, the patient is also responsible for the 20% copayment and deductible. Also called excess charge . 3. In some plans, this billing amount is limited to the difference between the insurance plan’s allowable fee and the amount paid by the plan. Patients are responsible for copayments, coinsurance amounts, and deductibles.