The reason why weeks after you have any health care you get stacks of bills from the doctor, the facility, the nurse, the pharmacy, the lab, and the guy who cleans the floors every other Saturday.

Even after you've paid the stupid $20 copay.
"I went to my doctor two months ago for a sore throat and I paid my $20 copay. Now I've gotten $847 worth of extra bills for the office visit, strep test, and a shot of penicillin. The office manager told me that was how much I owe in balance billing since I haven't met my $12,000 deductible."
by WackeMD October 3, 2018
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