Common use of Activities of Daily Living Clause in Contracts

Activities of Daily Living. (ADL) — mobility skills required for independence in normal, every- day living. Recreational, leisure, or sports activi- ties are not considered ADL. Allowed Charges —  For a Plan Provider: the amounts a Plan Provider agrees to accept as payment from Blue Shield.  For a non-Plan Provider: the amounts paid by Blue Shield when services from a non-Plan Provider are covered and are paid as a Reasonable and Customary Charge. Ambulatory Surgery Center — an Outpatient surgery facility which:

Activities of Daily Living. (ADL) — mobility skills required for independence in normal, every- day living. Recreational, leisure, or sports activi- ties are not considered ADL. Allowed Charges Allowable Amount (Allowance) —  For a Plan Provider: the amounts a Plan Provider agrees to accept as payment from Blue Shield.  For a non-Plan Provider: the amounts paid by total amount Blue Shield when services from allows for Covered Service(s) rendered, or the provider’s billed charge for those Covered Services, whichever is less. The Allow- able Amount, unless specified for a non-Plan Provider are covered and are paid as a Reasonable and Customary Charge. Ambulatory Surgery Center — an Outpatient surgery facility whichparticular ser- vice elsewhere in this EOC, is:

Activities of Daily Living. (ADL) — mobility skills required for independence in normal, every- day living. Recreational, leisure, or sports activi- ties are not considered ADL. Allowed Charges —  • For a Plan Provider: the amounts a Plan Provider agrees to accept as payment from Blue Shield.  • For a non-Plan Provider: the amounts paid by Blue Shield when services from a non-Plan Provider are covered and are paid as a Reasonable and Customary Charge. Ambulatory Surgery Center — an Outpatient surgery facility which: