Common use of Allowable Charges for Covered Services Clause in Contracts

Allowable Charges for Covered Services. The sharing is expressed as a percentage. Once the Member has met any applicable Deductible, Claims Administrator's percentage will be applied to the Allowable Charge for Covered Services to determine the Benefits provided. Company – Means Blue Cross and Blue Shield of Louisiana, or United Concordia Dental when it acts on Blue Cross and Blue Shield of Louisiana’s behalf. Complaint – An oral expression of dissatisfaction with the dental plan or Provider services. Cosmetic Surgery/Treatment – Any operative procedure, treatment, or service or any portion of an operative procedure, treatment or service performed primarily to improve physical appearance. An operative procedure, treatment or service is not considered Cosmetic Surgery if restores bodily function or corrects deformity to restore function of a part of the body that an Accidental Injury, disease or disorder, or covered Surgery has altered.

Appears in 4 contracts

Samples: Limited Benefit Contract, Limited Benefit Contract, Limited Benefit Contract

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Allowable Charges for Covered Services. The sharing is expressed as a percentage. Once the Member has met any applicable Deductible, Claims AdministratorUCD's percentage will be applied to the Allowable Charge for Covered Services to determine the Benefits provided. Company – Means Blue Cross and Blue Shield of Louisiana, or United Concordia Dental when it acts on Blue Cross and Blue Shield of Louisiana’s behalf. Complaint – An oral expression of dissatisfaction with the dental plan or Provider services. Cosmetic Surgery/Treatment – Any operative procedure, treatment, or service service, or any portion of an operative procedure, treatment or service performed primarily to improve physical appearance. An operative procedure, treatment or service is not considered Cosmetic Surgery or treatment if restores bodily function or corrects deformity to restore function of a part of the body that an Accidental Injury, disease or disorderdisease, disorder or covered Surgery has altered.

Appears in 4 contracts

Samples: Limited Benefit Contract, Limited Benefit Contract, Limited Benefit Contract

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Allowable Charges for Covered Services. The sharing is expressed as a percentage. Once the Member has met any applicable Deductible, Claims Administrator's percentage will be applied to the Allowable Charge for Covered Services to determine the Benefits provided. Company – Means Blue Cross and Blue Shield of Louisiana, or United Concordia Dental when it acts on Blue Cross and Blue Shield of Louisiana’s behalf. Complaint – An oral expression of dissatisfaction with the dental plan or Provider services. Cosmetic SurgeryService/Treatment – Any operative procedure, treatment, or service service, or any portion of an operative procedure, treatment or service performed primarily to improve physical appearance. An operative procedure, treatment or service is not considered Cosmetic Surgery if it restores bodily function or corrects deformity to restore function of a part of the body that an Accidental Injury, disease or disorderdisease, disorder or covered Surgery has altered.

Appears in 1 contract

Samples: Benefit Contract

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