Usual Charge definition

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.

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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.

Examples of Usual Charge in a sentence

• The total amount collected from The Plan, or administered accounts, and the Blue Preferred PPO Member for copayment, deductible and coinsurance, but not including Noncovered Services, may not exceed the lesser of Group's Usual Charge or The Plan's Maximum Reimbursement Allowance.

• The total amount collected from The Plan, or administered accounts, and the Blue Choice PPO Member for copayment, deductible and coinsurance, but not including Noncovered Services, may not exceed the lesser of Groups Usual Charge or The Plans Maximum Reimbursement Allowance.

• Group agrees to accept as payment in full for Covered Services rendered to Blue Choice PPO Members the lesser of Groups Usual Charge or The Plans Maximum Reimbursement Allowance set forth in Article III and hold Blue Choice PPO Members harmless from any sums in excess of this Maximum Reimbursement Allowance.

• The basis for reimbursement for Covered Services provided to NativeBlue Members will be the lesser of Group's Usual Charge or The Plan's Maximum Reimbursement Allowance set forth below.

• The total amount collected from The Plan, or administered accounts, and the NativeBlue Member for copayment, deductible and coinsurance, but not including Noncovered Services, may not exceed the lesser of Group's Usual Charge or The Plan's Maximum Reimbursement Allowance.

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

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

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

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

Usual Charge means the lesser of the following unless prohibited by federal statute or regulation:¶