Allowable payment definition

Allowable payment means the lower of the charge for medical services calculated in accordance with this rule or as billed by the provider. ( )
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Allowable payment means a premium, other than a retained replacement policy premium, and
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Examples of Allowable payment in a sentence

  • The current Medicare Allowable payment is final and is exclusive of cost settlements, reconciliations, or any other retroactive adjustments as completed by a MAC for both overpayments and underpayments.

  • Owner has pre-determined allowable cost repayment sources to be applied to annual payments, which shall include energy cost savings and operation and maintenance cost savings, water cost savings Allowable payment sources may also include material/commodity savings (including avoided cost from replacement lamps, ballasts, and scheduled replacement of parts).

  • Allowable payment types for the Payment Gateway Service are **********, ****, ******** *******, and ********.

  • Allowable payment types for the Payment Gateway Service are [**********, ****, ******** *******, and ********].

  • Allowable payment types for the New Payment Gateway Service are MasterCard, VISA, American Express and Discover.

  • Allowable payment types for the CSG Payment Gateway Service are MasterCard, VISA, American Express, and Discover.

Related to Allowable payment

  • Allowable Amount means the maximum amount determined by HMO to be eligible for consideration of payment for a particular Covered Drug. As applied to Participating Pharmacies the Allowable Amount is based on the provisions of the contract between HMO and the Participating Pharmacy in effect on the date of service. As applied to Prescription Drugs Purchased Outside of the Service Area, the Allowable Amount is based on the Participating Pharmacy contract rate.

  • Allowable Costs means the costs defined as allowable in 42 CFR, Chapter IV, Part 413, as amended to October 1, 2007, except for the purposes of calculating direct medical education costs, where only the reported costs of the interns and residents are allowed. Further, costs are allowable only to the extent that they relate to patient care; are reasonable, ordinary, and necessary; and are not in excess of what a prudent and cost-conscious buyer would pay for the given service or item.

  • Allowable Expenses means any necessary, reasonable and customary item of expense at least a portion of which is covered under at least one of the Health Benefit Plans covering the person for whom claim is made. When a Health Benefit Plan provides benefits in the form of coverage for services, the reasonable cash value of each service rendered shall be deemed to be both an Allowable Expense and a benefit paid.

  • Allowable Expense means a necessary, reasonable and customary item of expense for health care, which is:

  • Allowable cost means a cost that complies with all legal requirements that apply to a particular federal education program, including statutes, regulations, guidance, applications, and approved grant awards.