Network Allowance definition

Network Allowance means the amount network providers have agreed to accept as payment in full for services they render to you under the network provider portion of the Program.
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Network Allowance means the amount network providers have agreed to accept as payment in full for services they render to you, including applicable copayments under The Empire Plan Mental Health and Substance Abuse Program.
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Examples of Network Allowance in a sentence

  • If your provider charges more than the Non-Network Allowance, you are responsible for any amounts above the Non- Network Allowance unless under applicable law the Non-Network Provider is under a duty to accept the applicable Non-Network Allowance plus applicable deductibles, Copays and Coinsurance as payment in full for Covered Services and Supplies .

  • If your provider charges more than the Non-Network Allowance, you are responsible for any amounts above the Non- Network Allowance unless under applicable law the Non-Network Provider is under a duty to accept the applicable Non-Network Allowance plus applicable deductibles, Copays and Coinsurance as payment in full for Covered Services and Supplies.

  • Whilst a complete reversal of the use of external agency during 2009/10 is considered achievable, based on a more realistic migration back to CFP provision, but at the Fostering Network Allowance rates, in 2009-10 the costs are forecast to be greater than the savings generated by a net £202,000 countywide i.e. a net growth in costs in that year.

  • The deductible will not roll over to the following year .Once the calendar year deductible is met, this Plan pays a percentage of the Network Allowed Amount for Network Providers and a percentage of the Non- Network Allowance for Non-Network Providers .Please refer to page 2-6 for more information regarding your share of expenses for Non-Network Providers .The amount of the calendar year deductible depends on whether you use Network or Non- Network Providers .

  • Coverage for the purchase of equipment is limited to the Network Allowed Amount or Non- Network Allowance minus any amount already paid by the Plan for rental .3 .

  • You pay a percentage of the Network Allowed Amount for Network Providers and a percentage of the Non- Network Allowance for Non-Network Providers, after the calendar year deductible is satisfied.

  • Managed Physical Network (MPN) Network Allowance means the payment for Covered Services agreed to by the Provider and OptumHealth Care Solutions, LLC (Optum) or Optum’s affiliates.

  • All percentages are based on PHCS Preferred Provider Network Allowance, not actual charges.You may call the PHCS provider network at (866) 559-7427 toll free or you may visit the PHCS website at www.phcs.com.

  • The actual holder of fee simple title to the Property is Healthtronics Group, L.P., a Delaware limited partnership, f/k/a Prime Medical Management, L.P. All references to “Seller” in the Contract are hereby amended to mean Healthtronics Group, L.P., a Delaware limited partnership, f/k/a Prime Medical Management, L.P.

  • If your provider charges more than the Non-Network Allowance, you are responsible for any amounts above the Non- Network Allowance .

Related to Network Allowance

  • training allowance means an allowance (whether by way of periodical grants or otherwise) payable—

  • SO2 Allowance means “allowance” as defined at 42 U.S.C. § 7651a(3): “an authorization, allocated to an affected unit by the Administrator of EPA under Subchapter IV of the Act, to emit, during or after a specified calendar year, one ton of sulfur dioxide.”

  • NOx Allowance means an authorization to emit a specified amount of NOx that is allocated or issued under an emissions trading or marketable permit program of any kind that has been established under the Clean Air Act or a state implementation plan.

  • Tenant Improvement Allowance in the maximum amount of $200.00 per rentable square foot in the Premises, which is included in the Base Rent set forth in the Lease; and

  • disability living allowance means a disability living allowance under section 71 of the SSCBA;

  • Retirement allowance means the retirement payments to which a member is entitled.

  • PHARMACY ALLOWANCE means the lower of: • the amount the pharmacy charges for the prescription drug; • the amount we or our PBM have negotiated with a network pharmacy; or • the maximum amount we pay any pharmacy for that prescription drug.

  • Basic living expenses means the cost of basic food, shelter, and any other expenses of a Domestic Partner which are paid at least in part by a program or benefit for which the partner qualified because of the Domestic Partnership. The individuals need not contribute equally or jointly to the cost of these expenses as long as they agree that both are responsible for the cost.

  • main phase employment and support allowance means an employment and support allowance where the calculation of the amount payable in respect of the applicant includes a component under section 2(1)(b) or 4(2)(b) of the Welfare Reform Act 2007 except in Part 1 of Schedule 1;

  • Allowance means compensation payable to an employee in addition to the regular remuneration payable for the performance of the duties of his position.

  • Network Area means the 50 mile radius around the local school campus the Named Insured is attending.

  • Network Load means the load that a Network Customer designates for Network Integration Transmission Service under Tariff, Part III. The Network Customer’s Network Load shall include all load (including losses) served by the output of any Network Resources designated by the Network Customer. A Network Customer may elect to designate less than its total load as Network Load but may not designate only part of the load at a discrete Point of Delivery. Where an Eligible Customer has elected not to designate a particular load at discrete points of delivery as Network Load, the Eligible Customer is responsible for making separate arrangements under Tariff, Part II for any Point-To-Point Transmission Service that may be necessary for such non-designated load.

  • Preferred Allowance means the amount a Preferred Provider will accept as payment in full for Covered Medical Expenses.

  • Utility Allowance means a monthly allowance, as provided by the local public housing authority or as otherwise allowed by HUD rules and the GLO rules, for utilities and services (excluding telephone services) to be paid by the tenant. Contextual Note: Unless the context clearly indicates otherwise, an above definition for a singular term shall also apply (where appropriate) to the plural form of such term and vice versa to the extent necessary for giving the proper meanings to the terms defined in this Article II and/or terms otherwise used in this Agreement.

  • emission allowance means a financial instrument as defined in point (11) of Section C of Annex I of Directive [new MiFID].

  • Office Space means the offices of the Service Provider located at 000 Xxxx Xxxxxx, Xxxxx 00, Xxx Xxxx, Xxx Xxxx 00000 (or any successor location or other existing office space of the Service Provider or any of its affiliates).

  • converted employment and support allowance means an employment and support allowance which is not income-related and to which a person is entitled as a result of a conversion decision within the meaning of the Employment and Support Allowance (Existing Awards) Regulations 2008;

  • Maximum Applied Water Allowance (MAWA) means the upper limit of annual applied water for the established landscaped area as specified in Section 492.4. It is based upon the area's reference evapotranspiration, the ET Adjustment Factor, and the size of the landscape area. The Estimated Total Water Use shall not exceed the Maximum Applied Water Allowance. Special Landscape Areas, including recreation areas, areas permanently and solely dedicated to edible plants such as orchards and vegetable gardens, and areas irrigated with recycled water are subject to the MAWA with an ETAF not to exceed 1.0. MAWA = (ETo) (0.62) [(ETAF x LA) + ((1-ETAF) x SLA)]

  • Basic Costs means all direct and indirect costs and expenses incurred in connection with the Building as more fully defined in Exhibit C attached hereto.

  • Electricity Services means the services associated with the provision of electricity to a person, including the exchange of electric energy, making financial arrangements to manage financial risk associated with the pool price, Distribution Access Service, system access service, ancillary services, billing, metering, performing load settlement and any other services specified in regulations made under the Act;

  • Soft Costs means the costs of professional work and fees, interim costs, financing fees and expenses, syndication costs, soft costs and Developer’s fees as shown in the Applicant’s properly completed UniApp, Section C - Uses of Funds. Soft Costs do not include operating or replacement reserves.

  • 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.

  • Network Upgrades means modifications or additions to transmission-related facilities that are integrated with and support the Transmission Provider’s overall Transmission System for the general benefit of all users of such Transmission System. Network Upgrades shall include:

  • Disability allowance means monthly payments during

  • Rear Yard means a yard extending across the full width of a parcel measured perpendicularly from the rear wall(s) of the main building situated on the parcel to the rear property boundary of the parcel [see sketch in Schedule B];