Allowed charges definition

Allowed charges or “Allowable Charges” shall mean charges reviewed and approved under an appropriate audit and utilization review by the carrier as prescribed in the Division’s Rules, or as determined by the Commissioner or the Commissioner’s designee after consultation with the Division’s Medical Director.

Allowed charges means approved charges Licensees are permitted to levy from customers, prospective customers and the general public for carrying out work requested by them;

Allowed charges means the maximum amount for any procedure or service that the department allows as the basis for payment computation.

Examples of Allowed charges in a sentence

• When the Member is retired and age 65 years or older.When Blue Shield provides benefits after Medi- care, the combined benefits from Medicare and the Blue Shield group plan may be lower but will not exceed the Medicare Allowed charges.

• When the Member is eligible for Medicare solely due to end stage renal disease after the first 30 months that the Member is eligible to receive benefits for end-stage renal disease from Medicare.d. When the Member is retired and age 65 years or older.When Blue Shield provides benefits after Medicare, the combined benefits from Medicare and the Blue Shield group plan may be lower but will not exceed the Medicare Allowed charges.

• When the Member is eligible for Medicare solely due to end stage renal disease after the first 30 months that the Member is eli-gible to receive benefits for end-stage renal disease from Medicare.d. When the Member is retired and age 65 years or older.When Blue Shield provides benefits after Medi- care, the combined benefits from Medicare and the Blue Shield group plan may be lower but will not exceed the Medicare Allowed charges.

• When the Member is eligible for Medi-not exceed the Medicare Allowed charges.

• When the Member is retired and age 65 years or older.When Blue Shield provides benefits after Medicare, the combined benefits from Medicare and the Blue Shield group plan may be lower but will not exceed the Medicare Allowed charges.

• We propose to implement the method of using a plurality of allowed charges for primary care services to assign beneficiaries to ACOs. Allowed charges are a reasonable proxy for the resource use of the underlying primary care services, so the method of using a plurality of allowed charges assigns beneficiaries to ACOs according to the intensity of their primary care interactions, not merely the frequency of such services.

• Allowed charges are determined differently depending upon your specificplan and the type of service rendered.

• When the Member is eligible for Medicare solely due to end stage renal disease after the first 30 months that the Member is eli- gible to receive benefits for end-stage renal disease from Medicare.d. When the Member is retired and age 65 years or older.When Blue Shield provides benefits after Medi- care, the combined benefits from Medicare and the Blue Shield group plan may be lower but will not exceed the Medicare Allowed charges.

• Allowed charges that may vary, depending on the location of the customer or the amount of the customer bill, can simply be identified without specifying the specific dollar amount that would be applied to the customer.

• South African Regulation*South African Collective Investment Schemes Allowed, charges differ.

More Definitions of Allowed charges

Allowed charges means the maximum amount for any procedure or service that the department allows as the basis for payment computation)) - The total billed charges for allowable services.

Allowed charges means charges for services allowed by Our agreement with the Network Providers or an amount determined under a fee schedule used by Us in a part of Our Service Area. Allowed Charges are not reduced by amounts withheld by Us from payments for Care provided by Network Providers or due to any other provider incentive plan, or by any rebates We may get.

Allowed charges means)) - The maximum amount reimbursed for any procedure that is allowed by the ((depart- ment)) agency.

Allowed charges means the maximum amount reim- bursed for any procedure that is allowed by the department.

Allowed charges or “Allowable Charges” shall mean charges reviewed and approved under an appropriate audit and utilization review by the carrier as prescribed in the BureauDivision’s Rules, or as determined by the Administrator or the Administrator’s designee after consultation with the BureauDivision’s Medical Director.

Allowed charges or “Allowable Charges” shall mean charges as prescribed in the Bureau’s Rules, or as determined by the Administrator or the Administrator’s designee after consultation with the Bureau’s Medical Director.