Reasonable and Customary Charge means the actual fee charged by a dentist or a denture therapist for a service rendered or supply furnished but only to the extent that the fee is reasonable taking into consideration the following:
Reasonable and Customary Charge means the lesser of:
Reasonable and Customary Charge means a charge that does not exceed the usual level of charges for similar necessary medical treatment, services or supplies in the locality where it is received. SICKNESS means an illness or disease of the body which:
Examples of Reasonable and Customary Charge in a sentence
We will determine the Reasonable and Customary Charge for the covered Medical Expense.
More Definitions of Reasonable and Customary Charge
Reasonable and Customary Charge means a charge in an amount consistently made by other vendors/providers for a given service in the same geographic area and which reflects the complexity of the service taking into account availability of experienced repair personnel, availability of parts, and the effort of the vendor/provider to repair the damaged vehicle (as measured by the ratio of total repair time to total time the vehicle is in the vendor/providers possession).
Reasonable and Customary Charge means the normal charge of the provider, in the absence of insurance, 1) for a medical service or supply, but not more than the prevailing charge in the area for a like service by a provider with similar training or experience, or 2) for a supply which is identical or substantially equivalent. Ingenix is used to determine Reasonable and Customary. The final determination of a Reasonable and Customary charge rests solely with the Company.
Reasonable and Customary Charge means the following:
Reasonable and Customary Charge means, with respect to fees charged by a medical practitioner or by a supplier of professional services, medicines, or supplies, the most common charge for similar professional services, medicines, or supplies within the area in which the charge is incurred, so long as those charges are reasonable. Reasonable and customary charges will be determined by us.
Reasonable and Customary Charge means the general and popular range of charges incurred for offering similar or comparable treatment, service or item for a similar injury or disease by other service providers. The Company will not pay any charges that exceed reasonable and customary charges.
Reasonable and Customary Charge means the lesser of the fol- lowing: (1) the charge made for a given service by a Doctor to the ma- jority of his or her patients; or (2) a fee that is charged by the majority of Doctors within a specified geographic area for the same service.
Reasonable and Customary Charge means a charge in an amount consistently made by other vendors/providers for a given service in the same geographic area, which reflects the complexity of the service taking into account availability of experienced personnel and/or availability of services or parts.