Amount Generally Billed definition

Amount Generally Billed or “AGB” means, with respect to emergency and other medically necessary care, the amount generally billed to individuals who have insurance covering such care.
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Amount Generally Billed means the amount a large health care
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Amount Generally Billed means the amount a large health care facility generally bills to individuals for emergency or other medically necessary health care services, determined using the “look-back method” set forth in 26 C.F.R. § 1.501(r)-5(b)(3).
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Examples of Amount Generally Billed in a sentence

  • For Medically Necessary Services that are not covered by insurance, Insured Illinois Residents with Household Income of more than 250% and less than or equal to 600% of the then current Federal Poverty Guideline applicable to the Applicant’s Family Size shall be eligible for a discount equal or greater than the Amount Generally Billed Discount.

  • Limitation on Charges (Amount Generally Billed [AGB] Limitation): Under no circumstances will an individual who is determined to be eligible for either full or partial Financial Assistance be charged more for emergency or other medically necessary care than the AGB billed to individuals who have insurance covering such care.

  • The Cost-of-Care Discount shall be equal to or greater than the Amount Generally Billed Discount.

  • Calculation of the Amount Generally Billed Discount shall be in accordance with law based on the look-back method.

  • Discounts include the Cost-of-Care Discount and the Amount Generally Billed Discount.


More Definitions of Amount Generally Billed

Amount Generally Billed. (AGB) means the maximum charge that may be billed to a patient who is eligible for Financial Assistance under this Financial Assistance Policy. No patient eligible for Financial Assistance will be charged more than the AGB for the eligible service(s) (as defined below) provided to the patient. Verity Health calculates the AGB on a facility-by-facility basis using the “look-back” method by multiplying the “Gross Charges” (as defined below) for any Eligible Services that it provides by AGB percentages, which are based upon past claims allowed under private insurance. Verity Health’s AGB percentage and how the AGB percentages were calculated are reflected in the AGB Calculation methodology, Attachment B1.
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Amount Generally Billed or “AGB” means, with respect to emergency and other medically
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Amount Generally Billed or “AGB” means, with respect to emergency or other medically necessary care, the amount generally billed to individuals who have insurance
Sample 1
Amount Generally Billed. (AGB) means the maximum charge that may be billed to a patient who is eligible for Financial Assistance under this Financial Assistance Policy. No patient eligible for Financial Assistance will be charged more than the AGB for the eligible service(s) (as defined below) provided to the patient. Verity Health calculates the AGB on a facility-by-
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Related to Amount Generally Billed

  • Annual limit on intake or "ALI" means the derived limit for the amount of radioactive material taken into the body of an adult worker by inhalation or ingestion in a year. ALI is the smaller value of intake of a given radionuclide in a year by the reference man that would result in a committed effective dose equivalent of 0.05 sievert (five rem) or a committed dose equivalent of 0.5 sievert (fifty rem) to any individual organ or tissue. ALI values for intake by ingestion and by inhalation of selected radionuclides are given in appendix C to rule 3701:1-38-12 of the Administrative Code.

  • Applicable Interest Rate means (i) with respect to any Fixed Rate Indebtedness, the fixed interest rate applicable to such Fixed Rate Indebtedness at the time in question, and (ii) with respect to any Floating Rate Indebtedness, either (x) the rate at which the interest rate applicable to such Floating Rate Indebtedness is actually capped (or fixed pursuant to an interest rate hedging device), at the time of calculation, if Borrower has entered into an interest rate cap agreement or other interest rate hedging device with respect thereto or (y) if Borrower has not entered into an interest rate cap agreement or other interest rate hedging device with respect to such Floating Rate Indebtedness, the greater of (A) the rate at which the interest rate applicable to such Floating Rate Indebtedness could be fixed for the remaining term of such Floating Rate Indebtedness, at the time of calculation, by Borrower’s entering into any unsecured interest rate hedging device either not requiring an upfront payment or if requiring an upfront payment, such upfront payment shall be amortized over the term of such device and included in the calculation of the interest rate (or, if such rate is incapable of being fixed by entering into an unsecured interest rate hedging device at the time of calculation, a fixed rate equivalent reasonably determined by Administrative Agent) or (B) the floating rate applicable to such Floating Rate Indebtedness at the time in question.

  • Cost-plus-a-percentage-of-cost contract means a contract under which the contractor is paid a percentage of the total actual expenses or costs in addition to the contractor's actual expenses or costs.

  • NP 46-201 means National Policy 46-201 – Escrow for Initial Public Offerings.