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This basically means the amount of money being billed is the normal amount, usually based on National averages, and is not over and above normal amounts. It avoids being billed too much money for specific procedures.
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What does customary system?
When relating to insurance payments, customary and usual are average charges for a certain procedure. For instance, if it is customary and usual for a doctor to charge $1,000 for a medical procedure, that is what the insurance payment is based on. It does not matter if the doctor charges more than that amount.
What is the synonym of customary?
Habitual. Usual. Regular.
What is the Synonym for Customary?
Usual, regular, typical
How can you find the reasonable and customary charges for psychotherapy in zip code 10021?
The Usual Customary and Reasonable charge for psychotherapy fee in New York, New York differs with each insurance provider. Contact your health insurer the psychotherapy visit price in New York.
What is customary dose for certain body weight called?
Usual dose is the term refers to " customary dose for body weight." so Answer to Q. : it is called "Usual dose."
What are some synonyms of usual?
customary, common, standard, natural, typical. accustomedare the synonyms of usual
What does usual?
1. Habitually or commonly occurring or done; customary
What are usual customary and reasonable charges?
A medical charges is "usual and customary" (UC) when it is the same or similar amount for the same or similar service in the same or similar geographic area by the same or similar medical providers. If 100 surgeons charge $5,000.00 to perform the same surgery in a close geographic area then the "usual and customary" charge is $5,000.00. If 100 surgeons charge between $4,500 and $5,500.00 for the same surgery in the same area then the range of usual & customary is $4,500 to $5,500 and the average UC is $5,000.00 If a hundred taxi drivers charge $75.00 for the same trip between an airport and a downtown location then the "usual and customary" charge is $75.00. Yeah, it's that simple. "Reasonable" is best left out of the discussion because it's an impossible word to define. What's reasonable to one person may be totally unreasonable to another person. Note that UC is unrelated to the amount which an insurance company says is UC. The UC is not "set" by the insurance company or companies because the charge remains the same regardless of how much is paid. An insurance company may set an allowance amount which it then tries to retro-define as "usual & customary" but this is grossly inaccurate and used because it is self-serving to the insurance company. Best - LRL
What does usually means?
usual or customary; commonly; customarily; ordinarily
What does the word usual mean?
habitually or typically occurring or done; customary.
When determining professional fees what three VALUES are considered?
usual,customary,reasonable
How can you find the reasonable and customary charges for hernia repair outpatient?
To find the reasonable and customary charges for hernia repair, you need to find a state hospital or facility. State facilities tend to be cheaper than private facilities.
