Customary Charges definition

Customary Charges as defined in Section 2.12(c).
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Customary Charges means the amount CONTRACTOR normally or usually charges the 36 majority of its clients for a specified type of service, including the types of Psychiatric Inpatient 37
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Customary Charges is defined in conformity with 42 USC § 1395f and the regulations promulgated pursuant thereto.
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Examples of Customary Charges in a sentence

  • In no event will the Reasonable and Customary Charges exceed the actual amount charged.

  • WorldCare has been designed to provide cover for Reasonable and Customary Charges for Medically Necessary and active Treatment of disease, illness or injury.

  • Benefits will not be paid in excess of the Usual and Customary Charges.

  • Reasonable and Customary Charges means charges commonly used by Physicians in the locality in which care is furnished.

  • All transportation arrangements must be made by the most direct and economical route and conveyance possible and may not exceed the Usual and Customary Charges for similar transportation in the locality where the expense is incurred.

  • The Company will not pay benefits in excess of the Reasonable and Customary Charges.

  • If Treatment is Medically Necessary, but You did not obtain Pre-Authorisation, We will only pay up to Reasonable and Customary Charges.

  • Any expenses in excess of Usual and Customary Charges except as provided in the Certificate.

  • In no event will Usual and Customary Charges exceed the actual amount charged.

  • By Reasonable and Customary Charges We mean the standard fee that would be typically made in respect of Your Treatment.In the case of any Emergency, You, the treating Medical Practitioner or the Hospital, must contact Our 24 hour Emergency assistance service as soon as possible.


More Definitions of Customary Charges

Customary Charges means (1) the charges listed in an established charge schedule (if the institution has only a single set of charges applied to all patients), or (2) the most frequent or typical charges imposed (if the institution uses more than one charge for a single service). However, in order to be considered the “customary charge,” a charge would have to be one that was actually collected from a substantial number of individuals. A charge set up in name only, perhaps primarily to avoid the effect of this provision, is not intended to determine Medicare reimbursement.
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Customary Charges means the standard amount a service provider bills on behalf of every patient treated.22 But a “customary” charge is not necessarily a “reasonable” charge that must be reimbursed in full by the insurer.23 “[T]he ‘customary fee’ is simply the cap on what health-care providers can charge, and is not, automatically, a ‘reasonable’ charge requiring full reimbursement under § 3107.”24 The service provider bears the burden of proving both the customariness and the reasonableness of its charges.25
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Related to Customary Charges

  • Usual and Customary Charges means those comparable charges for similar treatment, services and supplies in the geographic area where treatment is performed.

  • Reasonable and Customary Charges means expenses which:

  • Delivery charges means charges by the seller for preparation and delivery to a location designated by the purchaser of tangible personal property or services. Delivery charges include, but are not limited to, transportation, shipping, postage, handling, crating, and packing. Beginning September 1, 2004, delivery charges do not include the charges for delivery of direct mail if the charges are separately stated on an invoice or similar billing document given to the purchaser. If a shipment includes both exempt property and taxable property, the seller shall allocate the delivery charge using 1 of the following methods:

  • Usual and customary charge means the average amount charged by most providers for treatment, service or supplies in the geographic area where the treatment, service or supply is provided.

  • Utility Charges means water, sewer, electricity, gas and other utility charges, if any, applicable to the Real Property or the Leased Real Property;

  • Service Charges means the fees levied by the municipality in terms of its tariff policy for any municipal services rendered in respect of an immovable property and includes any penalties, interest or surcharges levied or imposed in terms of this policy.

  • Contract Charges means charges that accrue during a given month as defined in Article III. “Contract Term” is defined in Article IV.

  • Delivery Charge means the total amount charged to the Authorized User for shipment of the Vehicle(s) from the Delivery Origin to the location(s) designated by the Authorized User on Form A: Mini-Bid Request, and on the Purchase Order.

  • Bond Service Charges means principal, including mandatory sinking fund requirements for retirement of obligations, and interest, and redemption premium, if any, required to be paid by the state on obligations.

  • Debt Service Charges means for any Measurement Period, the sum of (a) Consolidated Interest Charges required to be paid for such Measurement Period, plus (b) regularly scheduled principal payments required to be made on account of Indebtedness (excluding the Obligations and any Synthetic Lease Obligations and Capital Lease Obligations) for such Measurement Period, in each case determined on a Consolidated basis in accordance with GAAP.

  • Usage Charges means the Charges for the Service or applicable part of the Service that are calculated by multiplying the volume of units that the Customer used or incurred in a period (e.g. number of users using the Service, or the number of minutes the Service was used for) with the relevant fee that is specified in the Online Order.

  • Track Charges means the charges payable by or on behalf of the Train Operator to Network Rail, as set out in paragraph 1 of Part 2 of Schedule 7 or under the Traction Electricity Rules;

  • Capacity Charge means a charge for public facilities in existence at the time a charge is imposed or charges for new public facilities to be acquired or constructed in the future that are of proportional benefit to the person or property being charged, including supply or capacity contracts for rights or entitlements, real property interests, and entitlements and other rights of the local agency involving capital expense relating to its use of existing or new public facilities. A “capacity charge” does not include a commodity charge.

  • Debt charges means the principal, including any mandatory sinking fund deposits and mandatory redemption payments, interest, and any redemption premium, payable on securities as those payments come due and are payable. The use of "debt charges" for this purpose does not imply that any particular securities constitute debt within the meaning of the Ohio Constitution or other laws.

  • Monthly Charge shall have the meaning set forth in Article 5.

  • User Charges means a charge made to airlines by a service provider for the provision of airport, airport environmental, air navigation and aviation security facilities and services.

  • Installation Charges means those Charges set out in the Order in relation to installation of the Service and/or any Purchased Equipment, Customer Equipment and/or BT Equipment as applicable.

  • Service Charge means the amount charged for making a service available on line and is in addition to the actual fee for a service itself. For example, one who renews a license on line will pay the license renewal fee and a service charge.