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A company is liable for a design defect in its product only if:
Balance Billing
Billing a patient for the difference between a higher usual fee and a lower allowed charge.
Allowed Charge
The amount that is the most the payer will pay any provider for each procedure or service.
Copayment
A fixed amount that a healthcare beneficiary pays for covered medical services, usually at the time of receiving the service.
Capitated Payment
A payment arrangement in healthcare where a provider is paid a set amount for each enrolled person assigned to them, regardless of the number of services provided.
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