Contractual Allowance definition

Contractual Allowance means an amount verified by the Servicer in accordance with historical liquidation experience (actual collections received on the Billed Amount within 180 days of the Billing Date) and current reimbursement schedules by Payor Class by which the amount of charges billed to any Payor are to be adjusted to reflect the entitled reimbursement pursuant to any contract or other arrangement between such Payor and the Seller.
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Contractual Allowance means, with respect to an Account of a Third Party Payor owed to a Loan Party, an amount equal to the difference between the amount invoiced by such Loan Party for a service that gave rise to the creation of such Account and the amount allowed to be paid for such service by such Third Party Payor.
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Contractual Allowance. - This means the difference between the fee schedule for UPA Providers and the payment actually made for a UPA Provider's services by Third Party Payers as set by agreement between UPA and the Third Party Payer.
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Examples of Contractual Allowance in a sentence

  • Gross Charge – The full established price for medical care that is consistently and uniformly charged all patients before applying any Contractual Allowance, discount, or deduction.

  • Contractual Allowance – The difference between the payment established under a contractual agreement and the Gross Charge for the medical care provided by FCCC.

  • This exclusion is in place for the context of reporting, and is not related to Sponsors’ requirements for processing such requests.

  • For the purpose of this policy, the terms below are defined as follows: Contractual Allowance: The difference between the level of payment established under a contractual agreement with a third party payer and the patient's gross charges.Extraordinary Collection Actions (ECAs): ECAs apply when the Hospital facility impacts credit reporting or initiates legal processes such as liens, foreclosures, seizures of bank accounts or personal property, garnishment of pay, and/or arrest.

  • Therefore, the determination of the Contractual Allowance amount for “PathFinder” tests follows the same methodology as Medicare claims.


More Definitions of Contractual Allowance

Contractual Allowance means, at the time of any determination thereof, the amount that is recorded on the Borrower's consolidated balance sheet in accordance with GAAP (on a basis consistent with the historical practices of the Borrower as of the date hereof) as representing the difference between the gross amount of the Accounts of the Borrower and the Guarantors and the amounts actually billed to customers based on contractual pricing arrangements in effect with such customers (it being understood that the Contractual Allowance shall not include a reserve for bad debts or other reserves relating to collectability).
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Contractual Allowance means any discount off Centocor AWP, or rebate provided by Nova Factor to a third party health insurer, government program or other third party benefits payor determined on an accrual basis as provided by GAAP.
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Contractual Allowance means the difference between charges at
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Contractual Allowance means the percentage amount of discounts that are provided to nongovernmental payers pursuant to subsections (c), (d) and (e) of section 19a-646;
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Contractual Allowance means the difference between charges at established rates and the amount estimated to be paid by third party payors or patients, as appropriate, pursuant to agreements/contracts with the developmentally disabled care provider; courtesy and policy discounts provided to employees, medical staff and clergy; and charity care, but "contractual allowance" does not mean any Provider Participation fees/taxes paid to the Department.
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Contractual Allowance means an amount verified by the Servicer in accordance with historical liquidation experience (actual collections received on the Billed Amount within 180 days of the Billing Date) and reimbursement schedules by Payor Class by which the amount of charges billed to any Payor are to be adjusted to reflect the entitled reimbursement pursuant to any contract or other arrangement between such Payor and the Seller, a Provider Affiliate or a Provider Physician.
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Contractual Allowance means the difference between (i) the gross amount billed by NantHealth to an Institutional Customer for the Omics Services minus (ii) the amount approved for payment by an Institutional Customer in exchange for the Omics Services.
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