Contractual Allowance definition

Contractual Allowance means an amount verified by the Servicer in accordance with historical liquidation experience (actual collections received on the Billed Amount within 180 days of the Billing Date) and current reimbursement schedules by Payor Class by which the amount of charges billed to any Payor are to be adjusted to reflect the entitled reimbursement pursuant to any contract or other arrangement between such Payor and the Seller.

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Contractual Allowance means, with respect to an Account of a Third Party Payor owed to a Loan Party, an amount equal to the difference between the amount invoiced by such Loan Party for a service that gave rise to the creation of such Account and the amount allowed to be paid for such service by such Third Party Payor.

Contractual Allowance means any discount off Centocor AWP, or rebate provided by Nova Factor to a third party health insurer, government program or other third party benefits payor determined on an accrual basis as provided by GAAP.

Examples of Contractual Allowance in a sentence

• Therefore, the determination of the Contractual Allowance amount for “PathFinder” tests follows the same methodology as Medicare claims.

• Medicare – The Company is subject to a Contractual Allowance agreement between Medicare and the Company.

• For all “non-PathFinder” tests, if the Contractual Allowance did not reduce the NRV of the claim to 25% of the total claim, then RedPath will reduce the claim until the NRV is 25% of the total claim.

• Commercial Insurers - For all “non-PathFinder” tests – if the Contractual Allowance entry did not reduce the NRV of the claim to 25% of the total claim, then the Company would reduce the claim until the NRV is 25% of the total claim.

• Provided below is an example: CEA/AMYLASE test (non PathFinder) $100 Estimated Contractual Allowance $50 NRV $50 25% of the total claim $25 Amount to write off (Bad Debt Exp.) $25 PathFinder tests are valued at $1,813 which is based on the Company’s latest calculation of average reimbursement from commercial insurance companies for commercial claims that were in AR at 12/31/13 and was used on the 12/31/13 audited financials.

More Definitions of Contractual Allowance

Contractual Allowance. - This means the difference between the fee schedule for UPA Providers and the payment actually made for a UPA Provider's services by Third Party Payers as set by agreement between UPA and the Third Party Payer.

Contractual Allowance means, at the time of any determination thereof, the amount that is recorded on the Borrower's consolidated balance sheet in accordance with GAAP (on a basis consistent with the historical practices of the Borrower as of the date hereof) as representing the difference between the gross amount of the Accounts of the Borrower and the Guarantors and the amounts actually billed to customers based on contractual pricing arrangements in effect with such customers (it being understood that the Contractual Allowance shall not include a reserve for bad debts or other reserves relating to collectability).

Contractual Allowance means the difference between charges at

Contractual Allowance means the difference between charges at established rates and the amount estimated to be paid by third party payors or patients, as appropriate, pursuant to agreements/contracts with the developmentally disabled care provider; courtesy and policy discounts provided to employees, medical staff and clergy; and charity care, but "contractual allowance" does not mean any Provider Participation fees/taxes paid to the Department.

Contractual Allowance means an amount verified by the Servicer in accordance with historical liquidation experience (actual collections received on the Billed Amount within 180 days of the Billing Date) and reimbursement schedules by Payor Class by which the amount of charges billed to any Payor are to be adjusted to reflect the entitled reimbursement pursuant to any contract or other arrangement between such Payor and the Seller, a Provider Affiliate or a Provider Physician.

Contractual Allowance means the difference between (i) the gross amount billed by NantHealth to an Institutional Customer for the Omics Services minus (ii) the amount approved for payment by an Institutional Customer in exchange for the Omics Services.

Contractual Allowance means the percentage amount of discounts that are provided to nongovernmental payers pursuant to subsections (c), (d) and (e) of section 19a-646;