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Definitions for "Usual, Customary, and Reasonable"
Keywords:  geographic, customarily, payers, reimbursing, practitioner
Related Terms: Reasonable and customary, Usual, customary and reasonable, Reasonable and customary charges, Reasonable and customary charge, Customary charge, Ucr, Fee-for-service reimbursement, Allowable costs, Allowable charge, Actual charge, Balance billing, Allowed amount, Fee schedule, Allowed charge, Eligible expenses, Fee-for-service, Limiting charge, Fee for service, Approved amount, Co-payment, Copayment, Copay, Dispensing fee, Medicare-approved amount, Covered charges, Capitation, Assignment, Excess charge, Fee-for-service plan, Indemnity health plan, Original medicare, Cost shifting, Preferred provider organizations, Preferred provider organization, Ancillary charges, Indemnity plans, Ppo, Dental health maintenance organization, Indemnity plan, Dhmo, Health maintenance organizations, Co-pay, Preferred provider, Original medicare plan, Adjusted average per capita cost, Point of service plan, Covered expense, Aapcc, Medicare+choice, Preferred provider organization plan
Health insurance programs that pay the physician's full charge provided that charge (1) does not exceed his or her usual fee, (2) does not exceed the amount customarily charged in that area for the same service and (3) is otherwise reasonable.
bene-care.com
The commonly charged fees for services within a geographic area.
compdent.com
The average fee charged by a type of health care practitioner for a specific service in a geographic area; the amount is often used by payers as the basis for reimbursing providers.
treatment.org
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Keywords:  customary, reasonable, see
See Reasonable and Customary.
benefitmagic.com