Allowed charges definition

Allowed charges or “Allowable Charges” shall mean charges reviewed and approved under an appropriate audit and utilization review by the carrier as prescribed in the Division’s Rules, or as determined by the Commissioner or the Commissioner’s designee after consultation with the Division’s Medical Director.
Allowed charges means approved charges Licensees are permitted to levy from customers, prospective customers and the general public for carrying out work requested by them;
Allowed charges means the maximum amount for any procedure or service that the department allows as the basis for payment computation.

Examples of Allowed charges in a sentence

  • When the Member is retired and age 65 years or older.When Blue Shield provides benefits after Medi- care, the combined benefits from Medicare and the Blue Shield group plan may be lower but will not exceed the Medicare Allowed charges.

  • When the Member is eligible for Medicare solely due to end stage renal disease after the first 30 months that the Member is eligible to receive benefits for end-stage renal disease from Medicare.d. When the Member is retired and age 65 years or older.When Blue Shield provides benefits after Medicare, the combined benefits from Medicare and the Blue Shield group plan may be lower but will not exceed the Medicare Allowed charges.

  • When the Member is eligible for Medicare solely due to end stage renal disease after the first 30 months that the Member is eli-gible to receive benefits for end-stage renal disease from Medicare.d. When the Member is retired and age 65 years or older.When Blue Shield provides benefits after Medi- care, the combined benefits from Medicare and the Blue Shield group plan may be lower but will not exceed the Medicare Allowed charges.

  • When the Member is eligible for Medi-not exceed the Medicare Allowed charges.

  • When the Member is retired and age 65 years or older.When Blue Shield provides benefits after Medicare, the combined benefits from Medicare and the Blue Shield group plan may be lower but will not exceed the Medicare Allowed charges.

  • We propose to implement the method of using a plurality of allowed charges for primary care services to assign beneficiaries to ACOs. Allowed charges are a reasonable proxy for the resource use of the underlying primary care services, so the method of using a plurality of allowed charges assigns beneficiaries to ACOs according to the intensity of their primary care interactions, not merely the frequency of such services.

  • Allowed charges are determined differently depending upon your specificplan and the type of service rendered.

  • When the Member is eligible for Medicare solely due to end stage renal disease after the first 30 months that the Member is eli- gible to receive benefits for end-stage renal disease from Medicare.d. When the Member is retired and age 65 years or older.When Blue Shield provides benefits after Medi- care, the combined benefits from Medicare and the Blue Shield group plan may be lower but will not exceed the Medicare Allowed charges.

  • Allowed charges that may vary, depending on the location of the customer or the amount of the customer bill, can simply be identified without specifying the specific dollar amount that would be applied to the customer.

  • South African Regulation*South African Collective Investment Schemes Allowed, charges differ.


More Definitions of Allowed charges

Allowed charges means the maximum amount for any procedure or service that the department allows as the basis for payment computation)) - The total billed charges for allowable services.
Allowed charges means charges for services allowed by Our agreement with the Network Providers or an amount determined under a fee schedule used by Us in a part of Our Service Area. Allowed Charges are not reduced by amounts withheld by Us from payments for Care provided by Network Providers or due to any other provider incentive plan, or by any rebates We may get.
Allowed charges means)) - The maximum amount reimbursed for any procedure that is allowed by the ((depart- ment)) agency.
Allowed charges means the maximum amount reim- bursed for any procedure that is allowed by the department.
Allowed charges or “Allowable Charges” shall mean charges reviewed and approved under an appropriate audit and utilization review by the carrier as prescribed in the BureauDivision’s Rules, or as determined by the Administrator or the Administrator’s designee after consultation with the BureauDivision’s Medical Director.
Allowed charges or “Allowable Charges” shall mean charges as prescribed in the Bureau’s Rules, or as determined by the Administrator or the Administrator’s designee after consultation with the Bureau’s Medical Director.

Related to Allowed charges

  • CCAA Charges means the Administration Charge and the Directors’ Charge;

  • SLDC Charges means the charges levied by the SLDC of the state wherein the Solar Power Project is located;

  • Unpaid Charges means any charges billed to the Non-Paying Party that the Non-Paying Party did not render full payment to the Billing Party by the Bill Due Date, including where funds were not accessible.

  • Track Charges means the charges payable by or on behalf of the Train Operator to Network Rail, as set out in paragraph 1 of Part 2 of Schedule 7 or under the Traction Electricity Rules;

  • Service Charges means the fees levied by the municipality in terms of its tariff policy for any municipal services rendered in respect of an immovable property and includes any penalties, interest or surcharges levied or imposed in terms of this policy.

  • Imbalance Charges means any fees, penalties, costs or charges (in cash or in kind) assessed by a Transporter for failure to satisfy the Transporter's balance and/or nomination requirements.

  • Monthly Charges means a finance carrying charge of one and one-half of one percent (1.5%) and a storage and handling charge of one-half of one percent (0.5%), in each case of the Cost of the Inventory and/or Special Inventory and/or of the fees for the Product affected by the reschedule or cancellation (as applicable) per month until such Inventory and/or Special Inventory and/or Product is returned to the vendor, used to manufacture Product or is otherwise purchased by Customer.

  • Hire Charges means the rates and charges payable by You for the hire of the Equipment.

  • Non-Cash Charges has the meaning specified in the definition of the term “Consolidated EBITDA”.

  • Debt charges means the principal, including any mandatory sinking fund deposits and mandatory redemption payments, interest, and any redemption premium, payable on securities as those payments come due and are payable. The use of "debt charges" for this purpose does not imply that any particular securities constitute debt within the meaning of the Ohio Constitution or other laws.

  • Debt Service Charges means for any Measurement Period, the sum of (a) Consolidated Interest Charges required to be paid for such Measurement Period, plus (b) regularly scheduled principal payments required to be made on account of Indebtedness (excluding the Obligations and any Synthetic Lease Obligations and Capital Lease Obligations) for such Measurement Period, in each case determined on a Consolidated basis in accordance with GAAP.

  • Total Service Charges means all charges, after application of all discounts and credits, for Services excluding Taxes, Governmental Charges, equipment, Company ILEC, Company Wireless, Document Delivery Fax, non-recurring, goods and services acquired by Company as Customer’s agent, international pass-through access (Type 3/PTT) and charges for international access or provided by Company (Type 1), charges for security services provided by Cybertrust, Inc. or its affiliates set forth in the Guide as providers of Cybertrust security services and other charges expressly excluded by this Agreement.

  • Individual Charges means those charges incurred by individual Attendees including, but not limited to, restaurant charges other than the allowable group meals specified herein, any charge for alcoholic beverages, telephone expenses, sleeping room rental deposits, upgrades, Cancellation Fee and/or other applicable service or cancellation charges incurred by an Attendee, and associated taxes, surcharges, and/or other incidentals.

  • Usage Charges means the Charges for the Service or applicable part of the Service that are calculated by multiplying the volume of units that the Customer used or incurred in a period (e.g. number of users using the Service, or the number of minutes the Service was used for) with the relevant fee that is specified in the Online Order.

  • Maintenance Charges means the charges payable by the applicant to the Maintenance Agency in accordance with the demand raised by the Maintenance Agency for the maintenance and up keep of the said building/ said complex, including common areas and facilities but does not include; (a) the charges for actual consumption of utilities in the Dwelling Unit including but not limited to electricity, water, which shall be charged based on actual consumption on monthly basis and (b) any statutory payments, taxes, with regard to the Dwelling Unit/ said building/said complex.

  • Interest Expenses means, with respect to any Person for any period, the sum, determined on a consolidated basis in accordance with GAAP, of all interest accruing on the Indebtedness of such Person during such period (including interest attributable to Capital Leases).

  • Consolidated Non-cash Charges means, with respect to any Person for any period, the aggregate depreciation, amortization (including amortization of goodwill and other intangibles) and other non-cash expenses of such Person and its Restricted Subsidiaries reducing Consolidated Net Income of such Person and its Restricted Subsidiaries for such period, determined on a consolidated basis in accordance with GAAP (excluding any such charges constituting an extraordinary item or loss).

  • Rent and Charges Reserve means the aggregate of (a) all past due rent and other amounts owing by a Loan Party to any landlord, warehouseman, processor, repairman, mechanic, shipper, freight forwarder, broker or other Person who possesses any Collateral or could assert a Lien on any Collateral; and (b) a reserve equal to three months rent and other charges that could be payable to any such Person, unless it has executed a Collateral Access Agreement.

  • Rental Charges means the charges payable for renting the Vehicle from Us together with GST and any other taxes or levies which are all fully set out in the Rental Agreement.

  • User Charges means a charge made to airlines by a service provider for the provision of airport, airport environmental, air navigation and aviation security facilities and services.

  • Utility Charges means water, sewer, electricity, gas and other utility charges, if any, applicable to the Real Property or the Leased Real Property;

  • Contract Charges means charges that accrue during a given month as defined in Article III. “Contract Term” is defined in Article IV.

  • Collection Costs means an amount that the Municipality can charge with regard to the enforcement of a consumer’s monetary obligations;

  • Interest Charges means, for any period, the sum of: (a) all interest, charges and related expenses payable with respect to that fiscal period to a lender in connection with borrowed money or the deferred purchase price of assets that are treated as interest in accordance with GAAP, plus (b) the portion of Capitalized Lease Obligations with respect to that fiscal period that should be treated as interest in accordance with GAAP, plus (c) all charges paid or payable (without duplication) during that period with respect to any Hedging Agreements.

  • Bond Service Charges means, for any period or payable at any time, the principal of, premium, if any, and interest on the Bonds for that period or payable at that time whether due at maturity or upon redemption, Mandatory Tender or acceleration.

  • Enforcement Expenses shall include all reasonable attorneys’ fees, court costs, transcript costs, fees of experts, travel expenses, duplicating costs, printing and binding costs, telephone charges, postage, delivery service fees, and all other out-of-pocket disbursements or expenses of the types customarily incurred in connection with an action to enforce indemnification or advancement rights, or an appeal from such action. Expenses, however, shall not include fees, salaries, wages or benefits owed to Indemnitee.