Usual Charge definition

Usual Charge and “UC” each has the meaning provided for in OAR 410-120-0000.

Usual Charge means the amount most commonly charged by health care providers for the same or similar services.

Usual Charge means the charge which the contractor or subcontractor most frequently charges non-departmental clients or purchasers for a similar service, activity or procedure.

Examples of Usual Charge in a sentence

• Services That Are Not CoveredIn accordance with the Arkansas Blue Cross Dental PPP and PPO Fee Schedules, participating dentists agree to accept as payment in full the lesser of either their Usual Charge or the Allowance for dental services provided under the applicable dental program, less any applicable member cost-share, such as a deductible, co-insurance or copayments.

• Any member cost-share that applies toward the deductible shall be based upon the provider’s Usual Charge or the Allowance, whichever is less, as shown in this example: Member’s Yearly Deductible Your Charge Allowed AmountMember Cost-share Applied Toward DeductibleCommon Reasons for Non-PaymentTo familiarize yourself with Arkansas Blue Cross reimbursement requirements, please refer to the list below of messages commonly found on dental remittances to explain non-payment:• No payment can be made.

• Services That Are Not Covered‌In accordance with the Arkansas Blue Cross Dental PPP and PPO Fee Schedules, participating dentists agree to accept as payment in full the lesser of either their Usual Charge or the Allowance for dental services provided under the applicable dental program, less any applicable member cost-share, such as a deductible, co-insurance or copayments.

• Any member cost-share that applies toward the deductible shall be based upon the provider’s Usual Charge or the Allowance, whichever is less, as shown in this example: Member’s Yearly Deductible Your Charge Allowed AmountMember Cost share Applied Toward DeductibleCommon Reasons for Non-Payment‌To familiarize yourself with Arkansas Blue Cross reimbursement requirements, please refer to the list below of messages commonly found on dental remittances to explain non-payment:• No payment can be made.

• The amount of payment for a covered Prescription Drug is the Allowed Charge or the Usual Charge for the Prescription Drug.

More Definitions of Usual Charge

Usual Charge means the amount received for a service provided to a non-Member in benefits from other health insurers plus any gap payments paid by the non-Members.

Usual Charge means the charge which the contractor or subcontractor most frequently charges non-HCA clients or purchasers for a similar service, activity or procedure.

Usual Charge means the fee most commonly charged by the provider, for services provided to all

Usual Charge means the most consistent charge by a provider for a given service.

Usual Charge means the minimum of the average charge that is accepted as payment in full by the provider of the service or supply; and

Usual Charge. The fee most commonly charged by Group for services provided to most patients.

Usual Charge means the amount most commonly charged by healthcare providers for the same or similar services.