Loss Amount Sample Clauses

Loss Amount. 54306 1 Costs with respect to environmental remediation activities are limited to $200,000 unless prior consent of the FDIC Line item definitions located in SF Data Submission Handbook 99 Exhibit 2d(2) Shared-Loss Month: [input month] Loan no.: [input loan no.)

Loss Amount. The Indictment describes six variations of billing fraud and includes tables of claims demonstrating each type of billing fraud. For those claims specifically included in the Indictment, the total amount billed on those claims was $359,168.25. The total amount that was actually paid on those claims by health care benefit programs was $51,789.53. Based on his experience with health care benefit programs, the defendant knew and expected that HCA would be paid less than the full amount sought in the claims submitted, in large part because the clinic was out of network and non-participating for most insurance companies. The reasonably foreseeable pecuniary harm and intended loss that resulted from defendants’ health care fraud cannot be determined with certainty. However, based on defendant’s experience with health care benefit programs and their reimbursement rates, he estimates that the reasonably foreseeable pecuniary harm and intended loss for the claims in the charts in the Indictment to be more than $70,000 but not more than $120,000.