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[Health Insurance] 11, Usual Customary and Reasonable Charges
Published: April 7, 2026
Duration: 3:12
This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams.
In this episode you will learn:
- That UCR is the maximum amount an insurer recognizes for a service in a specific geographic area, based on what local providers usually charge.
- How balance billing occurs when an out-of-network provider charges more than the UCR amount and bills the patient for the difference.
- That all insurer payment c...