Amount Generally Billed definition

Amount Generally Billed or “AGB” means, with respect to emergency and other medically necessary care, the amount generally billed to individuals who have insurance covering such care.

Amount Generally Billed means the amount a large health care

Amount Generally Billed means the amount a large health care facility generally bills to individuals for emergency or other medically necessary health care services, determined using the “look-back method” set forth in 26 C.F.R. § 1.501(r)-5(b)(3).

Examples of Amount Generally Billed in a sentence

• The "Amount Generally Billed" or "AGB" is the amount the Hospital generally bills to insured patients.

• Once eligibility is determined, eligible patients will not be charged more than the Amount Generally Billed (AGB) to insurance per IRS regulations.

• For the purpose of this policy, the certain terms are defined as follows: Amount Generally Billed (“AGB”): The amounts generally billed for emergency or other medically necessary care to individuals who have insurance covering such care.

• Any patient eligible for financial assistance will be billed no more than an amount determined by multiplying the gross charges for all emergency medical care and medically necessary services provided to such individual by the Amount Generally Billed (AGB) percentage.

• Amount Generally Billed or AGB: The amount generally billed is the expected payment from patients, or a patient’s guarantor, eligible for financial assistance prior to the application of any additional discount granted under this policy.

• Amount Generally Billed Percentage (“AGB%”): The AGB divided by the gross patient charges for all claims over a twelve (12) month look-back period that were paid by Medicare and commercial health care insurers.

• For Medically Necessary Services that are not covered by insurance, Insured Illinois Residents with Household Income of more than 250% and less than or equal to 600% of the then current Federal Poverty Guideline applicable to the Applicant’s Family Size shall be eligible for a discount equal or greater than the Amount Generally Billed Discount.

• FL Health has elected to use Medicare Parts A and B allowed payments (including coinsurance, copayments and deductibles) as the Amount Generally Billed.

• AHCA: Florida Agency for Health Care Administration Amount Generally Billed (“AGB”): The average amount of all claims allowed by traditional Medicare and commercial health care insurers over a twelve (12) month look-back period for Medically Necessary Care.

• Amount Generally Billed Percentage: The sum of all reimbursement amounts from Medicare and private health insurers over the last twelve months divided by the sum of the gross charges.

More Definitions of Amount Generally Billed

Amount Generally Billed. (AGB) means the maximum charge that may be billed to a patient who is eligible for Financial Assistance under this Financial Assistance Policy. No patient eligible for Financial Assistance will be charged more than the AGB for the eligible service(s) (as defined below) provided to the patient. Verity Health calculates the AGB on a facility-by-facility basis using the “look- back” method by multiplying the “Gross Charges” (as defined below) for any Eligible Services that it provides by AGB percentages, which are based upon past claims allowed under Medicare fee for services (FFS). Verity Health’s AGB percentage and how the AGB percentages were calculated are reflected in the AGB Calculation methodology, Attachment B1.

Amount Generally Billed or “AGB” means, with respect to emergency and other medically

Amount Generally Billed or “AGB” means, with respect to emergency or other medically necessary care, the amount generally billed to individuals who have insurance

Amount Generally Billed. (AGB) means the maximum charge that may be billed to a patient who is eligible for Financial Assistance under this Financial Assistance Policy. No patient eligible for Financial Assistance will be charged more than the AGB for the eligible service(s) (as defined below) provided to the patient. Verity Health calculates the AGB on a facility-by-