Glossary

UMP Classic
UMP CDHP
UMP Plus

Balance billing

Balance billing is a provider billing you for the difference between the provider’s or facility's charge and the allowed amount.

For example, if the provider’s charge is $100 and the allowed amount is $70, the provider may bill you for the remaining $30.

  • For UMP Classic and UMP CDHP: Preferred and participating providers may not balance bill you for covered services above the allowed amount.
  • For UMP Plus: ACP network and other Blue Cross and/or Blue Shield providers may not balance bill you for covered services above the allowed amount.

See an example of how this works in your certificate of coverage (UMP Classic, UMP CDHP, UMP Plus-PSHVN, UMP Plus-UW Medicine ACN).