Qualifying Payment Amount (QPA) definition
Qualifying Payment Amount (QPA) generally means the median of the contracted rates recognized by the plan for the same or similar item or service that is provided by a provider in the same or similar specialty and provided in the same geographic region in which the item or service under dispute was furnished, increased by inflation.
Qualifying Payment Amount (QPA) generally means the median of contracted rates for a specific item or service in the same geographic region within the same insurance market, increased by an inflation index. For more on the methodology for calculation the qualifying payment amount see here.18
Qualifying Payment Amount (QPA) generally means the median of contracted rates recognized by the plan for the same or similar item or service that is provided by a provider in the same or similar specialty and facility of the same or similar facility type and provided
More Definitions of Qualifying Payment Amount (QPA)
Qualifying Payment Amount (QPA) generally means the median of contracted rates recognized by the plan, issuer or carrier for the same or similar item or service that is provided by a provider in the same or similar specialty or facility of the same or similar