Claim Charge definition

Claim Charge means the amount which appears on a Claim as the Provider’s regular charge for service rendered to a patient, without further adjustment or reduction.

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Claim Charge means the amount which appears on a Claim as the Provider’s charge for services rendered to the Covered Person, without adjustment or reduction and regardless of any separate financial arrangements between Us and a particular Provider.

Claim Charge means the amount which appears on a Claim as the Provider’s regular charge for service rendered to a patient, without further adjustment or reduction and irrespective of any separate financial arrangement between Claim Administrator and the particular Provider. (See provisions regarding “Claim Administrator’s Separate Financial Arrangements With Providers And Other Entities” in Exhibit 3).

Examples of Claim Charge in a sentence

The normal work day for full-time employees shall be eight consecutive hours, but for the purposes of this Agreement, 12-month employees who work seven or more hours per day will be deemed to be full-time.
C) If Earned Premium is greater than the sum of Incurred Claims (less claims in excess of the $255,000 pooling level), Pooled Claim Charge and Administrative Charge, 30% of this excess will be returned to the Group.
BlueCard® Program/Network Access Fees* (as applicable): Additional information is available upon request; included in the Claim Charge, if applicable.
For a Provider who does not have a written agreement with Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide care to a Covered Person at the time Covered Services for medical benefits are rendered (“Non-Network Provider”), the Allowable Amount will be the lesser of: (a) the Non-Network Provider's Claim Charge, or; (b) Claim Administrator’s non-contracting Allowable Amount.
City shall calculate the Precleared Only Baggage Claim Charge by dividing the estimated Precleared Only Baggage Claim Rate Base Requirement by the forecast total number of Precleared Arriving Passengers for the next Fiscal Quarter.
The Non-Best-In-Class Specialty Pharmacy Paid Claim Charge does not apply to Limited Distribution Drugs.
For each Covered Medication dispensed by the mail Participating Pharmacy to an Eligible Member, Client agrees to pay MedTrak the mail pharmacy Paid Claim Charge, which is the “Mail Pharmacy Service Fee”, plus any applicable sales or excise tax or other handling or governmental charge (as determined by law), less any applicable Copayment or Deductible, as described in the Plan.
D) If Earned Premium is less than the sum of Incurred Claims (less claims in excess of the $255,000 pooling level), Pooled Claim Charge and Administrative Charge, the deficit will be retained by BCBSF.
Prior to each Fiscal Quarter, City shall calculate the Precleared Only Baggage Claim Charge to be charged on the basis of Precleared Arriving Passengers as follows.
Amounts recovered by PLA or Authority pursuant to this Agreement will be applied to the Accounts in the following order of priority: (i) reimbursement of costs and expenses incurred by PLA or any attorney(s) retained by ▇▇▇; (ii) attorney fees and other charges, expenses and fees charged by PLA or any attorney(s) retained by PLA; and (iii) amounts payable to Authority, including the face amount of the municipal claim, the penalty, the Notice of Claim Charge, and interest.

More Definitions of Claim Charge

Claim Charge means the price paid by CLIENT to BENECARD PBF for Covered Drugs dispensed to Members, plus any applicable taxes, fees, or surcharges. CLIENT and BENECARD PBF agree that the price paid by CLIENT to BENECARD PBF for those Covered Drugs shall be the same price paid by BENECARD PBF to the Participating Pharmacy plus any applicable taxes, fees or surcharges.

Claim Charge. – means the price paid by CLIENT to BENECARD PBF for Covered Drugs dispensed to Members, plus any applicable federal, state or local tax, fee, or surcharge.

Claim Charge. ’ means the amount which appears on a Claim as the Provider’s charge for service rendered to a patient, without further adjustment or reduction and irrespective of any separate finan- cial arrangement between the Plan and the particular Provider. (See Section IV.A. of this Group Ad- ministration Document regarding the Plan’s Separate Financial Arrangements with Providers.)

Claim Charge means the amount which appears on a Claim as the Provider’s charge for services

Claim Charge means the amount which appears on a Claim as the Provider’s regular charge for service

Claim Charge. ’ means the amount which appears on a Claim as the Provider’s charge for ser- vice rendered to a patient, without further adjustment or reduction and irrespective of any sepa- rate financial arrangement between the Plan and the particular Provider. (See Section IV. (A) of this Group Administration Document regarding the Plan’s Separate Financial Arrangements with Providers.)