The Part of a Provider's Charge That the Insurance Carrier

question 26

Short Answer

The part of a provider's charge that the insurance carrier will allow as a covered expense.

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Definitions:

Soleus

A powerful muscle in the back part of the lower leg (calf) that is involved in standing and walking.

Hamstring Group

A group of three muscles located at the back of the thigh, responsible for bending the knee and extending the hip.

Biceps Femoris

A muscle of the posterior thigh that flexes the knee and extends the hip, part of the hamstring group.

Semimembranosus

A large muscle in the back of the thigh that is part of the hamstrings group and helps in thigh extension and knee flexion.