Claim Charge definition

Claim Charge means the amount which appears on a Claim as the Provider’s charge for services rendered to the Covered Person, without adjustment or reduction and regardless of any separate financial arrangements between Us and a particular Provider.

Claim Charge means the amount which appears on a Claim as the Provider’s regular charge for service rendered to a patient, without further adjustment or reduction.

Claim Charge means the amount which appears on a Claim as the Provider’s regular charge for service rendered to a patient, without further adjustment or reduction and irrespective of any separate financial arrangement between Claim Administrator and the particular Provider. (See provisions regarding “Claim Administrator’s Separate Financial Arrangements With Providers And Other Entities” in Exhibit 3).

Examples of Claim Charge in a sentence

• Benefits for an additional surgical opinion consultation and related Diagnostic Service will be provided at 100% of the Claim Charge.

• This notification must include full details of the service received, including your name, age, sex, identification number, the name and address of the Provider, an itemized statement of the service rendered or furnished, the date of service, the diagnosis, the Claim Charge, and any other information which Blue Cross and Blue Shield may request in connection with services rendered to you.

• This notification must include full details of the service received, in­ cluding your name, age, sex, identification number, the name and address of the Provider, an itemized statement of the service rendered or furnished, the date of service, the diagnosis, the Claim Charge, and any other information which Blue Cross and Blue Shield may request in connection with services rendered to you.

• If applicable, the Claim Administrator will include any such surcharge, tax or other fee as part of the Claim Charge passed on to you.

• Payment totals can be readily pulled.• Claim Charge - The amount charged to UCare on the individual claim.• Payer Adjustment Amount - The sum of all payment adjustments.

• The non-contracting Allowable Amount does not equate to the Provider's Claim Charge and Covered Persons receiving Covered Services from a Non-Network Provider will be responsible for the difference between the non-contracting Allowable Amount and the Non-Network Provider's Claim Charge, and this difference may be considerable.

• Payment totals can be readily pulled from the information in the report. Claim Charge.

• This notification must include full details of the service received, including your name, age, sex, identification number, the name and address of the Provider, an itemized statement of the service rendered or furnished (including appropriate codes), the date of service, the diagnosis (including appropriate codes), the Claim Charge, and any other information which the Claim Administrator may request in connection with services rendered to you.

• Benefits for an additional surgical opinion consultation and related Diagnostic Service will be provided at 100% of the Claim Charge after you have met your calendar year deductible.

• In the event the non-contracting Eligible Charge amount does not equate to the Non-Participating Provider’s Claim Charge, you will be responsible for the difference between such amount and the Claim Charge, along with any applicable Copayment, Coinsurance and deductible amount(s).

More Definitions of Claim Charge

Claim Charge means the price paid by CLIENT to BENECARD PBF for Covered Drugs dispensed to Members, plus any applicable taxes, fees, or surcharges. CLIENT and BENECARD PBF agree that the price paid by CLIENT to BENECARD PBF for those Covered Drugs shall be the same price paid by BENECARD PBF to the Participating Pharmacy plus any applicable taxes, fees or surcharges.

Claim Charge means the amount which appears on a Claim as the Provider’s charge for services

Claim Charge. – means the price paid by CLIENT to BENECARD PBF for Covered Drugs dispensed to Members, plus any applicable federal, state or local tax, fee, or surcharge.

Claim Charge. ’ means the amount which appears on a Claim as the Provider’s charge for ser- vice rendered to a patient, without further adjustment or reduction and irrespective of any sepa- rate financial arrangement between the Plan and the particular Provider. (See Section IV. (A) of this Group Administration Document regarding the Plan’s Separate Financial Arrangements with Providers.)

Claim Charge. ’ means the amount which appears on a Claim as the Provider’s charge for service rendered to a patient, without further adjustment or reduction and irrespective of any separate finan- cial arrangement between the Plan and the particular Provider. (See Section IV.A. of this Group Ad- ministration Document regarding the Plan’s Separate Financial Arrangements with Providers.)