Disallowed Sample Clauses

Disallowed if the fee for a procedure or service is Disallowed, it is not payable by your plan, nor collectable from the patient by a Participating Dentist. The Exclusions and Limitations provisions in Section 6 identify services which are Disallowed. In each instance, a Delta Dental Participating Dentist agrees not to charge a separate fee.
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Disallowed. DTI declares the component to be unacceptable for use and will actively intervene to disallow its use when discovered. No waiver requests for new solutions with this component rating will be considered.

Related to Disallowed

  • Disallowed Costs The Contractor is responsible for any audit exceptions or disallowed costs incurred by its own organization or that of its Subcontractors.

  • Offset Whenever the Company is to pay any sum to any Member, any amounts that Member owes the Company may be deducted from that sum before payment.

  • Deductible An annual deductible of fifty dollars ($50) per person and one hundred fifty dollars ($150) per family applies to State Dental Plan non-preventive services received from in-network providers. An annual deductible of one hundred twenty-five dollars ($125) per person applies to State Dental Plan services received from out of network providers. The deductible must be satisfied before coverage begins.

  • Overpayment Provider shall be liable to the GLO for any costs disallowed pursuant to financial and/or compliance audit(s) of funds received under this Contract. Provider shall reimburse such disallowed costs from funds other than those that Provider received under this Contract. Provider must refund disallowed costs and overpayments of funds received under this Contract to the GLO within 30 days after the GLO issues notice of overpayment to Provider.

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