Usual charge definition

Usual charge means the charge which the contractor or subcontractor most frequently charges non-departmental clients or purchasers for a similar service, activity or procedure.
Usual charge means the amount most commonly charged by health care providers for the same or similar services.
Usual charge means the most consistent charge by a provider for a given service.

Examples of Usual charge in a sentence

  • The total amount collected from The Plan, or administered accounts, and the Blue Choice PPO Member for copayment, deductible and coinsurance, but not including Noncovered Services, may not exceed the lesser of Groups Usual Charge or The Plans Maximum Reimbursement Allowance.

  • Group agrees to accept as payment in full for Covered Services rendered to Blue Choice PPO Members the lesser of Groups Usual Charge or The Plans Maximum Reimbursement Allowance set forth in Article III and hold Blue Choice PPO Members harmless from any sums in excess of this Maximum Reimbursement Allowance.


More Definitions of Usual charge

Usual charge means the fee most commonly charged by the provider, for services provided to all
Usual charge means the amount received for a service provided to a non-Member in benefits from other health insurers plus any gap payments paid by the
Usual charge means the minimum of the average charge that is accepted as payment in full by the provider of the service or supply; and
Usual charge. The fee most commonly charged by Group for services provided to most patients.
Usual charge means the amount most commonly charged by healthcare providers for the same or similar services.
Usual charge means the charge which the Contractor or Subcontractor most frequently charges non-HCA Clients or purchasers for a similar service, activity or procedure.
Usual charge and “UC” each has the meaning provided for in OAR 410-120-0000.