Common use of Allowable Charges Clause in Contracts

Allowable Charges. This Section will tell You what the allowable charge for a service is. It may or may not be the same as the actual charge. Inclusion of a service or provider type in the Allowable Charges section below does not imply coverage for such service. See Covered Services to determine the extent of Your coverage. As used herein, actual charge means the total amount billed by a provider to all parties for a particular service.

Appears in 3 contracts

Sources: Comprehensive Major Medical Group Contract, Comprehensive Major Medical Group Contract, Comprehensive Major Medical Group Contract