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.
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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.
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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.
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Examples of Claim Charge in a sentence

  • Prior to each Fiscal Quarter, City shall calculate the Precleared Only Baggage Claim Charge to be charged on the basis of Precleared Arriving Passengers as follows.

  • City shall calculate the Precleared Only Baggage Claim Charge by dividing the estimated Precleared Only Baggage Claim Rate Base Requirement by the forecast total number of Precleared Arriving Passengers for the next Fiscal Quarter.

  • BlueCross BlueShield of Florida Accounting & Retention Agreement (Revised) Description Agreement provides for the return to SLPS of 30% of premium which exceeds the sum of Incurred Claims (less claims in excess of the $255,000 pooling level), Pooled Claim Charge and Administrative Charge, if any.

  • 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.

  • Paid Claim Charge The “Best-In-Class Specialty” Participating Pharmacies designated by MedTrak and approved by Client are the exclusive providers of specialty Pharmacy Services.

  • For a Provider who does not have a written agreement with Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide care to a Covered Person at the time Covered Services for medical benefits are rendered (“Non-Network Provider”), the Allowable Amount will be the lesser of: (a) the Non-Network Provider's Claim Charge, or; (b) Claim Administrator’s non-contracting Allowable Amount.

  • If premium is less than the sum of Incurred Claims (less claims in excess of the $255,000 pooling level), Pooled Claim Charge and Administrative Charge, the deficit will be retained by BCBSF.

  • Note that with respect to Specialty Drug Products dispensed by a pharmacy that is not a BIC Specialty Pharmacy awarded that particular Specialty Drug Product, MedTrak will xxxx to Client, and Client shall pay MedTrak, the Non Best-In-Class Specialty Pharmacy Paid Claim Charge specified further below in this Exhibit D.

  • For each Covered Medication dispensed by the mail Participating Pharmacy to an Eligible Member, Client agrees to pay MedTrak the mail pharmacy Paid Claim Charge, which is the “Mail Pharmacy Service Fee”, plus any applicable sales or excise tax or other handling or governmental charge (as determined by law), less any applicable Copayment or Deductible, as described in the Plan.


More Definitions of Claim Charge

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

  • Transition charge means a nonbypassable rate or charge to be imposed on a customer to pay the customer's share of transition costs.

  • SLDC Charges means the charges levied by the SLDC of the state wherein the Solar Power Project is located;

  • Claim Period means the period of time during which a Settlement Class Member must submit a Claim Form to be eligible to receive a Cash Benefit or Billing Credit Option as part of the Settlement. The Claim Period shall commence not later than thirty (30) days after the Preliminary Approval Date, as defined herein, and shall conclude not more than ninety (90) days after it commences.

  • Energy Charge means a charge for each kilowatt-hour (kWh) of electrical energy;

  • Service Charge means the amount charged for making a service available on line and is in addition to the actual fee for a service itself. For example, one who renews a license on line will pay the license renewal fee and a service charge.