Recognized Charge definition
Recognized Charge means the negotiated charge contained in an agreement the claims administrator has with the provider either directly or through a third party. If there is no such agreement, the Recognized Charge is determined in accordance with the provisions of this section.
Recognized Charge is defined in GovGuam’s Pharmacy Plan. Where a similar term (such as “reasonable charge amount”) is used in GovGuam’s Plan instead of “recognized charge”, it will have the same meaning as Recognized Charge.
Recognized Charge means the negotiated charge contained in an agreement the claims administrator has with the provider either directly or through a third party. If there is no such agreement, the recognized charge is determined in accordance with the provisions of this section. An out-of-network provider has the right to bill the difference between the recognized charge and the actual charge. This difference will be the covered person's responsibility.
Examples of Recognized Charge in a sentence
For High Deductible, Low Deductible and Catastrophic Medical, the total benefits paid by Dow may not exceed the Negotiated Charge (for Services received through an In-Network Provider) or the Recognized Charge (for Services received through an Out-of-Network Provider or Out-of-Area).