Approved charge

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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.

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Thus, while counts of services and approved charges were computed within months following the end of a year, the reported persons served data often lagged by several years.
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Under Medical Insurance, Medicare usually pays 80% of the approved charges for doctors' services and the cost of other services that are covered under Medical Insurance after the patient pays annual deductible.
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By Wasil Ali March 4, 2009 (WASHINGTON) -- The International Criminal Court (ICC) announced that its judges approved charges made by its prosecutor against Sudanese president Omer Hassan Al-Bashir.
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First, the approved charges for the study States represent services rendered by physicians and suppliers in 1988 for which bills were processed by the Part B carriers servicing each of them.
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