Generally it's "negotiated rate." Check your policy for the definition. The other common definition is UCR, Usual,Reasonable and Customary.
CPT stands for Current Procedural Terminology. These codes are used to give a uniform term for procedures for the purpose of efficiency in filing claims. There is a particular code for every medical service. You might find this helpful for further information: patients.about.com/od/costsconsumerism/a/cptcodes.htm
The amount you pay that is not reimbursed by any source.
The amount a physician or supplier bills for a particular service or supply is known as the "charged amount" or "billed amount." This figure reflects the provider's standard fees for the service or item before any discounts, negotiations, or adjustments that may be applied by insurance companies or payers. It can vary widely based on factors such as geographic location, the provider's pricing policies, and the complexity of the service rendered.
yes
You can always cancel your policy and you will be reimbursed the pro-rated amount.
So the healthcare provider can be reimbursed his contractual amount from the insurance company for his services.
The allowed amount is the amount that the insurer will pay for particular service. In the context of health insurance, for example, it is the amount that the insurer will pay for each covered procedure. The allowed amount is usually the amount the insurance provider deems the services received to be worth. This amount can also be set by provider contracts with the insurer. These are contracts where, for instance, an insurance company agrees to pay 80% of the standard rate of the provider. In most managed care arrangements, the provider agrees to accept that amount in full payment and not to bill the insured for the balance.
Generally, a co-pay is a fixed amount that you're responsible for before the insurance coverage starts for a particular medical service.
posting the amount
If you have already paid the contractor in full and have a receipt of such then you would be reimbursed for the difference in what was already paid to minus what the total amount agreed upon was.
The maximum amount of a particular item that can be purchased with no stop limit is unlimited.
Sure...as long as the reimbursement is done within the amounts and documentation requirements (which of course can be complex, especially if it requires maintaining a "qualified plan"), and specific, the amount reimbursed is deductible to the employer AND not reportable as payroll or income by the employee.