Fee Schedule
The list of allowed amounts a payer will pay for each service.
Get a Free Billing AuditDefinition
A fee schedule is the list of amounts a payer will allow for each procedure code, usually tied to a contract. It defines the allowed amount that drives both the plan’s payment and the patient’s share.
Fee schedules vary by payer and can change over time, so the amount a practice actually collects for the same service differs from one plan to another.
Why it matters for billing
Loading current fee schedules lets a practice verify that payments match the contract and catch underpayments — one of the most overlooked sources of recoverable revenue. Without the fee schedule, an underpaid claim looks like a paid claim.
Related terms
Terms that come up alongside Fee Schedule in the revenue cycle.
Billing that gets Fee Schedule right
EnVisionMD RCM handles eligibility, coding, documentation, denials and follow-up end to end — so the details behind terms like this one are managed for you, not left to chance.
Request a free billing reviewFee Schedule — frequently asked questions
No. Fee schedules vary by payer and contract, so the allowed amount for the same service can differ between plans.
So payments can be checked against the contracted allowed amount, which is how underpayments are detected.