Definitions for "ALLOWED CHARGE"
The Allowed Charge is the amount GHI will reimburse you for covered services rendered by non-participating Providers.
The lesser amount of the actual charge or the maximum allowable payment -MAP, or the patient contract indemnified payment limitation amount.
The amount Medicare or your insurance company approves for payment to a physician for a service rendered. Typically, Medicare pays 80 percent of the approved charge and the patient pays the remaining 20 percent.