Examples of Allowed Cost in a sentence
This Maximum Allowed Cost may be amended by the Owner in the event the actual costs are expected to exceed the Maximum Allowed Cost, provided that Contractor shall give written notice of such fact prior to incurring actual costs in excess of ninety percent of the Maximum Allowable Cost.
The Maximum Allowed Cost for this Change Order is $ __________________________, and is established as Incumbrance Record No. _______________ .
In no event shall actual costs be incurred in excess of the Maximum Allowed Cost, as it may be amended.
The Maximum Allowed Cost (MAC) for the surgery is $1,500; your Coinsurance responsibility when an In-Network surgeon is used is 20% of $1,500, or $300.
If we authorize a Covered Service so that you are responsible for the In-Network cost share amounts, you may still be liable for the difference between the Maximum Allowed Cost (MAC) and the Out-of-Network Provider’s charge.
The Maximum Allowed Cost (MAC) for the surgery service is $1,500; your Coinsurance responsibility for the Out-of-Network surgeon is 30% of $1,500, or $450 after the Out-of-Network Deductible has been met.
The Maximum Allowed Cost (MAC) for the anesthesiology service is $950; Your Coinsurance responsibility is 20% of $950, or $190 and the remaining allowance from us is 80% of $950, or $760.
Because the Out-of-Network Provider’s charge for this service is $500, you may receive a bill from the Out-of-Network Provider for the difference between the $500 charge and the Maximum Allowed Cost (MAC) of $200.
Maximum Allowed Cost or Maximum Allowable Charge (MAC) Maximum Allowed Cost and/or Maximum Allowable Charge shall mean the maximum amount payable for a Covered Service under the Contract and meeting Medical Necessity and Prior Authorization requirements.
Because we have authorized the In-Network cost share amount to apply in this situation, you will be responsible for the In-Network Copayment of $25 and Alliant will be responsible for the remaining $175 of the $200 Maximum Allowed Cost (MAC).