Approved charge

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Also found in: Medical.

Approved Charge

In some health insurance plans, the amount that the insurer will pay for a medical procedure. Some insurers will only pay for medical procedures up to the approved charge. If the amount the physician or hospital bills exceeds the approved charge, the policyholder is responsible for paying it. See also: Coinsurance.

Approved charge.

With traditional fee-for-service health insurance, the insurance company sets an approved or allowable amount for each medical procedure or office visit.

If your bill exceeds the approved charge, the difference between the approved charge and the claim that's submitted to the insurance company for reimbursement is considered an excess charge. You are responsible for that amount in addition to a percentage of the approved charge.

Medicare establishes approved charges for medical procedures and office visits. If you participate in Original Medicare, there's a legal limit on what a doctor, laboratory, or other medical provider can charge in excess of the approved amount.

References in periodicals archive ?
The administrative and general expenses Included the approved amount of Dh542 million, from which Dh197 million was disbursed in the first half of this year, an increase of 36 per cent compared with Dh224 million for the same period last year.
Half of the approved amount for this ITI has already been released as the first installment to Manipur Government.
PAR physicians agree to take assignment on all Medicare claims, which means that they must accept Medicare's approved amount (which is the 80 percent that Medicare pays plus the 20 percent patient copayment) as payment in full for all covered services for the duration of the calendar year.
The new loan cap prohibits Williams from borrowing the approved amount, and he may also lose a great deal of money in non-refundable down payments that he has already made.
This means beneficiaries will not pay more than 20 percent of the approved amount, once they have met their annual $100 Medicare Part B deductible.
It has already offered a total of 860 million yen, some 80% of the approved amount, to tourism industries in the four prefectures as an advance payment, they said.
00) of its approved amount, and most "medigap" policies would cover no more than the other 20 percent--$222.
The approved amount by the PSC board will cover airfare, accommodation, uniforms and allowances of the contingent, which includes 498 athletes from 37 sports.
Chairman Provincial Zakat Council Justice A(r) Akhtar Hassan stressed upon the department to make foolproof arrangements for in time distribution of approved amount to the deserving persons.
He informed the meeting that major chunk of the approved amount 6.
According to Asian Development Bank sustainability report, investing in Asia and the pacific's future it said that the bank approved amount was ten percent higher than previous two years.
The approval is valid until August 31, Swedbank said, adding that it may buy back less than the approved amount depending on market conditions.