Common use of Payment Limits Clause in Contracts

Payment Limits. The Plan limits what it will pay for Covered Services not provided by a Network Provider. The most the Plan will pay is the Maximum Allowable Amount. You may have to pay the balance if the claim is for more than the Maximum Allowable Amount even if you have met your Out-of-Network Out-of-Pocket Maximum. The Plan will pay Benefits within 30 days after receipt of the clean claim and proof supporting the claim.

Payment Limits. The Plan limits what it will pay for Covered Services not provided by a Network Provider. The most the Plan will pay is the Maximum Allowable Amount. You may have to pay the balance if the claim is for more than the Maximum Allowable Amount even if you have met your Out-of-Network Out-of-Pocket Maximum. When there is an inadequate network, balance billing does not apply. The Plan will pay Benefits within 30 days after receipt of the clean claim and proof supporting the claim.

Payment Limits. The Plan limits what it will pay for Covered Services not provided by a Network Provider. The most the Plan will pay is the Maximum Allowable Amount. You may have to pay the balance if the claim is for more than the Maximum Allowable Amount even if you have met your Out-of-Network Out-of-of- Pocket Maximum. When there is an inadequate network, balance billing does not apply. The Plan will pay Benefits within 30 days after receipt of the clean claim and proof supporting the claim.. SAMPLE

Payment Limits. The Plan limits what it will pay for Covered Services not provided by a Network ProviderProvider . The most the Plan will pay is the Maximum Allowable AmountAllo xxxxx Amount . You may have to pay the balance if the claim is for more than the Maximum Allowable Amount even if you have met your Out-of-Out - of- Network Out-of-Out - of- Pocket Maximum. The Plan will pay Benefits within 30 days after receipt of the clean claim and proof supporting the claim.

Payment Limits. The Plan limits what it will pay for Covered Services not provided by a Network Provider. The most the Plan will pay is the Maximum Allowable Amount. You may have to pay the balance if the claim is for more than the Maximum Allowable Amount even if you have met your Out-of-Network Out-of-of- Pocket Maximum. When there is an inadequate network, balance billing does not apply. The Plan will pay Benefits within 30 days after receipt of the clean claim and proof supporting the claim.