Benefit Payment. The term "Benefit Payment" means a payment issued by the Contract Administrator to a provider or Participant based on the Maximum Allowable Fee Schedule for an in-network service or supply. The Maximum Allowable Fee Schedule is a payment system that reimburses up to a specified dollar amount for services rendered. Payment will never exceed the Maximum Allowable Charge.
Appears in 5 contracts
Samples: Insurance Agreement, Pension and Insurance Agreement, Insurance Agreement