How do doctors get paid by insurance companies?

So no matter what the doctor actually bills, as long as the doctor is participating, the insurance company will pay up to their maximum. So, if the bill is $250, and the insurance company’s maximum payout for the test is $125, the doctor will receive payment in the amount of $125 and will be forced to forgive the rest. read more

The American College of Physicians), which includes a large group of primary care physicians, has joined other professional groups and a lineup of health plans to criticize the way doctors are being paid, saying that it has warped the way medicine is practiced, devaluing vital services such as doctor-patient discussions while pumping up rewards for expensive procedures and bigger volumes. read more