Billed charge definition

Billed charge means the amount a facility

Billed charge means the total charges for a

Billed charge means the amount a facility charges for an inpatient admission, outpatient surgical procedure, or health care service or supply.

Examples of Billed charge in a sentence

• STEP 1:$ 300.00 x 75%$ 225.00- Allowable charge- TRICARE portion for retirees- Amount payable by TRICARE in the absence of other coverageSTEP 2:$ 400.00- Billed charge - 100.00- Charge for service not allowed $ 300.00- Net billed charge - 150.00- OHI payment applicable to allowed services $ 150.00- Unpaid balanceSTEP 3: TRICARE pays $150.00, since it is the lower of the two computations.

• Savings Plan‌‌‌‌‌ Billed charge $5,000 Allowed amount12 $4,000 Annual deductible - $3,600Getting preauthorization for your medical careIn-network providerHealth care preauthorizationWith the State Health Plan, some covered services require preauthorization by a phone call toMedi-Call before you receive them.

• The rules governing the credit recognition procedure are set out in the rules of procedure of the committee competent in credit recognition.

• EXAMPLE 3: STEP 1:$ 50.00- Allowable charge - 50.00- TRICARE deductible $ 0.00- TRICARE payment in absence of double coverageSTEP 2:$ 50.00- Billed charge - 0.00 $ 50.00- Amount paid by OHI - total billed charge credited to double coverage plan’s deductible.- Unpaid balanceSTEP 3: The beneficiary is responsible for paying the $50.00 unpaid balance.

• Billed charge amounts are based upon each hospital’s “Charge Master” rate sheet that sets the price for every treatment and item supplied by the hospital.

More Definitions of Billed charge

Billed charge means the total dollar amount that is charged by a health care provider for health care

Billed charge means the charge submitted to the department by the provider.

Billed charge means the total charges for an item or service billed to a group health plan or health insurance issuer by a provider.

Billed charge means the total charges for a health care service or supply billed to a health benefit plan by a health care provider.

Billed charge means)) - The charge submitted to the ((department)) agency by the provider.(("Blended rate" means a mathematically weighted average rate.))

Billed charge means the amount billed to Aetna for a Covered Service or Supply by an Out-of-Network Health Care Provider or Provider Group.

Billed charge means the amount a facility charges for a health care service or supply.