Customary Charges definition

Customary Charges means the amount CONTRACTOR normally or usually charges the 36 majority of its clients for a specified type of service, including the types of Psychiatric Inpatient 37 Hospital Services defined herein. CONTRACTOR’s customary charges shall be subject to review by 1 the Department of Health Care Services.
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Customary Charges as defined in Section 2.12(c).
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Customary Charges is defined in conformity with 42 USC § 1395f and the regulations promulgated pursuant thereto.
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Examples of Customary Charges in a sentence

  • WorldCare has been designed to provide cover for Reasonable and Customary Charges for Medically Necessary and active Treatment of disease, illness or injury.

  • If Treatment is Medically Necessary, but You did not obtain Pre-Authorisation, We will only pay up to Reasonable and Customary Charges.

  • By Reasonable and Customary Charges We mean the standard fee that would be typically made in respect of Your Treatment.In the case of any Emergency, You, the treating Medical Practitioner or the Hospital, must contact Our 24 hour Emergency assistance service as soon as possible.

  • WorldCare has been designed to provide cover for Reasonable and Customary Charges for Medically Necessary and active Treatment of disease, illness or injury.WorldCare provides worldwide cover, excluding the USA, unless the USA elective Treatment option is selected.

  • All transportation arrangements must be made by the most direct and economical route and conveyance possible and may not exceed the Usual and Customary Charges for similar transportation in the locality where the expense is incurred.

  • When You should contact Us before Treatment starts.Your Group Plan with Us will only cover Reasonable and Customary Charges for Treatment thatis Medically Necessary.

  • Reimbursement of the Reasonable and Customary Charges Medically Necessary for room accommodation and meals.

  • Covered Emergency Evacuation Expenses are the Reasonable and Customary Charges for Medically Necessary Transportation, related medical services, and medical supplies incurred in connection with the Emergency Evacuation of the Insured.

  • Benefits will not be paid in excess of the Usual and Customary Charges.

  • When You should contact us before Treatment starts.Your Group Plan with Us will only cover Reasonable and Customary Charges for Treatment thatis Medically Necessary.


More Definitions of Customary Charges

Customary Charges means (1) the charges listed in an established charge schedule (if the institution has only a single set of charges applied to all patients), or (2) the most frequent or typical charges imposed (if the institution uses more than one charge for a single service). However, in order to be considered the “customary charge,” a charge would have to be one that was actually collected from a substantial number of individuals. A charge set up in name only, perhaps primarily to avoid the effect of this provision, is not intended to determine Medicare reimbursement.
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Customary Charges means the amount CONTRACTOR normally or usually charges
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Customary Charges means the standard amount a service provider bills on behalf of every patient treated.22 But a “customary” charge is not necessarily a “reasonable” charge that must be reimbursed in full by the insurer.23 “[T]he ‘customary fee’ is simply the cap on what health-care providers can charge, and is not, automatically, a ‘reasonable’ charge requiring full reimbursement under § 3107.”24 The service provider bears the burden of proving both the customariness and the reasonableness of its charges.25
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Related to Customary Charges

  • Bank Charges means the charges levied by the Merchant Acquiring Bank for Transactions and Refunds. “Bank System” means the banking system operated by any approved bank, financial institution or other body.

  • Service Charges means the fees levied by the municipality in terms of its tariff policy for any municipal services rendered in respect of an immovable property and includes any penalties, interest or surcharges levied or imposed in terms of this policy.

  • Contract Charges means charges that accrue during a given month as defined in Article III. “Contract Term” is defined in Article IV.

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

  • Maintenance Charges means the charges payable by the applicant to the Maintenance Agency in accordance with the demand raised by the Maintenance Agency for the maintenance and up keep of the said building/ said complex, including common areas and facilities but does not include; (a) the charges for actual consumption of utilities in the Dwelling Unit including but not limited to electricity, water, which shall be charged based on actual consumption on monthly basis and (b) any statutory payments, taxes, with regard to the Dwelling Unit/ said building/said complex.

  • Water Charges means service charges in respect of the provision of water.

  • Installation Charges means those Charges set out in the Order in relation to installation of the Service and/or any Purchased Equipment, Customer Equipment and/or BT Equipment as applicable.

  • 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.