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.

References in periodicals archive ?
It added that approved charges remained the same within 2013.
This included information on total approved charges; primary care incentive payments awarded to NPs and CNSs; bonuses for high-quality and electronic prescribing awarded to APRNs in each of the four roles; and also Medicaid incentive payments to NPs and CNMs for electronic health record installation and use.
The first is the reduction in Medicare total approved charges. The second factor is based on quality of care.
How are "approved charges" for covered medical services determined?
Services of independent physical therapists are limited to a maximum of $1,840 (in 2010) in approved charges in any one year.
"Notably in the newly approved charges the cost of wholesale international leased line has been reduced by more than 20pc for circuits to some regions and for leased lines, used to provide data services to businesses, the charges have been reduced by up to 40pc.
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.
Local media in California reported that a key prosecution witness, Colonel John Ewers, had also served as a legal adviser to the marine general who approved charges against Chessani.
He both proposed and provided the blueprint for the latest approved charges, but is unapologetic to punters, who he benefited earlier in his career when spearheading the abolition of the 'under starter's orders' rule.
The STF has approved charges against all 40 people accused by federal prosecutors of funneling bribes or taking them.
The Civil Aviation Department has reportedly approved charges by Air Canada, KLM Royal Dutch Airlines and six mainland Chinese carriers including Air China, China Eastern Airlines, China Northern Airlines, China Northwest Airlines, China Southern Airlines and Yunnan Airlines.
When you go to the insurer's "preferred providers," Medicare pays its share of the approved charges and the insurer is responsible for the full supplemental benefits provided for in the policy.