115%
Maximum Actual Allowable Charge
(MAAC) Maximum Allowable Actual Charge
"Medicare Allowable" charges: Providers who participate with Medicare agree to accept the Medicare allowable charge as full payment. Bear in mind that because Medicare is an 80/20 plan, the patient is still responsible for the 20 percent of the allowable charges not paid by Medicare. * For example: You have chemotherapy in your physician's office and Medicare is billed $500.00 for the service. The Medicare allowable or assignment for your chemotherapy treatment is $300.00. Your physician is paid 80 percent of $300.00 or $240.00. You are responsible for only the $60.00 not paid by Medicare but considered allowable under Medicare UCR fee schedule. This is because participating Medicare providers may not bill the patient for the balance amounts above the Medicare allowable fee schedule (known as "balance billing"). It is important to verify that your provider "Accepts Medicare Assignment" or is a "Medicare Provider" to avoid unexpected and potentially large out-of-pocket expenses.
5 or less
Five or less
In Wisconsin, what is the maximum allowable monthly interest rate I can charge customers who are delinquent in their bills?
For Type 1 appliances, which are small appliances containing refrigerants with a charge of 5 pounds or less, the allowable factory charge of refrigerant is typically limited to a maximum of 2.0 pounds of refrigerant. This regulation ensures safe operation and compliance with environmental standards. Specific allowable charges can vary slightly depending on the refrigerant type and local regulations, so it's important to consult the manufacturer's specifications for precise details.
To my knowledge there is no such charge (as you have worded it) contained in law. You must be more specific about what the actual charge was, and what actions precipitated it.
Iam glad to answer your question, No, your hospital cannot bill you for the balance. When they "accept assignment" on a claim, they should accept the BCBSTX's maximum allowable charge as payment in full. When your Other Health Insurance (OHI) pays more than the BCBSTX maximum allowable charge, they have paid in ful. ---GokulaKrishnan
Write off is the difference between total charge and the allowable amount by the insurace. Write off is the difference between total charge and the allowable amount by the insurace.
Only if the physician is a non-participating provider who does not accept assignment. The physician can bill the patient the difference between the actual charge and the allowable charge. This is called "balance billing".
You can get a car loan, but will have to put down a very hefty down payment - sometimes as much as 50% of the value of the car. Small finance companies are more likely to help you out with that, but will charge you the maximum allowable finance charge (usually 29%).